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Mr. Jonathan Lyndell Burt, LMT
Specialist in Detroit, Michigan
NPI 1740302025

Jonathan Lyndell Burt is a Specialist based in Detroit, MI. Jonathan Lyndell Burt practices in Detroit, MI and has the professional credentials of LMT. The NPI Number for Jonathan Lyndell Burt is 1740302025 and holds a License No. BUS2002-01531 (Michigan).

The current practice location address for Jonathan Lyndell Burt is 20966 Grand River Ave, Detroit, MI and can be reached out via phone at 313-255-4070.

Location: 20966 Grand River Ave, Detroit, MI, 48219-3937
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740302025
Provider Name
Jonathan Lyndell Burt
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
20966 Grand River Ave, Detroit, MI, 48219-3937
Phone Number
313-255-4070
Fax Number
Provider Enumeration Date
04/06/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
20966 Grand River Ave
City
Detroit
State
Michigan
Zip
48219-3937
Phone Number
313-255-4070
Fax Number
person
Provider Business Mailing Address Details
Address
20966 Grand River Ave
City
Detroit
State
Michigan
Zip
48219-3937
Phone Number
313-255-4070
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
BUS2002-01531 (Michigan)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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