person
Mr. Michael T Burnett JR., LMT,CPNMT
Massage Therapist in Springfield, Missouri
NPI 1295118313

Michael T Burnett JR. is a Massage Therapist based in Springfield, MO. Michael T Burnett JR. practices in Springfield, MO and has the professional credentials of LMT,CPNMT. The NPI Number for Michael T Burnett JR. is 1295118313 and holds a License No. 2014021187 (Missouri).

The current practice location address for Michael T Burnett JR. is 1440 W Republic Rd Ste 112, Springfield, MO and can be reached out via phone at 417-719-1591 and via fax at 417-719-1591. You can also correspond with Michael T Burnett JR. through the mailing address at 1440 W REPUBLIC RD STE 112, SPRINGFIELD, MO - 65807-5754 (mailing address contact number: 417-719-1591).

Location: 1440 W Republic Rd Ste 112, Springfield, MO, 65807-5754
person
Provider Profile Details
NPI Number
1295118313
Provider Name
Michael T Burnett JR.
Credential
LMT,CPNMT
Provider Entity Type
Individual
Gender
Male
Address
1440 W Republic Rd Ste 112, Springfield, MO, 65807-5754
Phone Number
417-719-1591
Fax Number
417-719-1591
Provider Enumeration Date
07/07/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
13938631 01 MO CAQH
institution
Provider Business Practice Location Address Details
Address
1440 W Republic Rd Ste 112
City
State
Zip
65807-5754
Phone Number
417-719-1591
Fax Number
417-719-1591
person
Provider Business Mailing Address Details
Address
1440 W Republic Rd Ste 112
City
State
Zip
65807-5754
Phone Number
417-719-1591
Fax Number
417-719-1591
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
2014021187 (Missouri)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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