Burnett, Mindy Gayle
Burnett, Mindy Gayle is an individual health care provider with primary practice located at 1701 River Run Suite 104, Fort Worth TX 76107-6579. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Burnett, Mindy Gayle can be contacted via phone (817) 882-9611.Contact Information
Primary practice address
1701 River Run Suite 104
Fort Worth TX 76107-6579
Phone: (817) 882-9611
Fax: (817) 882-9976
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 2032316 | Texas |
Profile Details
| NPI number | 1346440195 |
|---|---|
| LBN Legal business name | Burnett, Mindy Gayle |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2007 |
| Last updated | Jul 19th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346440195 | NPPES |
| Texas | Other | 2032316 | ECPTOTE OF TEXAS |
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