NPI 1093382707

Jonathan Lyle Burlingame

Practitioner Physical Therapist Park Rapids, MN

Practice location

Address: 1006 Crocus Hill St E, Park Rapids, MN 56470-5419
Phone: (218) 366-8469
Mailing address: 25730 Holly Road, Park Rapids, MN 56470

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 12214 (MN)

Other Physical Therapist providers in Minnesota →

Registry record

NPI: 1093382707
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Jun 2021
Record last updated: 29 Jan 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.