Burnett, Michael T

Burnett, Michael T is an sole proprietor health care provider with primary practice located at 1440 W Republic Rd Ste 112 , Springfield MO 65807-5754. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Burnett, Michael T can be contacted via phone (417) 719-1591.

Contact Information

Primary practice address
1440 W Republic Rd Ste 112 Springfield MO 65807-5754
Phone: (417) 719-1591
Fax: (417) 719-1591
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 2014021187 Missouri

Profile Details

NPI number 1295118313
LBN Legal business name Burnett, Michael T
Credentials LMT, CPNMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2015
Last updated Mar 10th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295118313 NPPES
Missouri Other 13938631 CAQH

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