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1063254993
KODY BURKE
KNOXVILLE, TN
NPI
1063254993
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TN 8620)
Enumeration Date
2024-06-11
Last Update Date
2024-06-11
Business Address
KODY BURKE PTA
10133 SHERRILL BLVD
KNOXVILLE, TN 37932-3347
Phone number: 888-531-2204
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Mailing Address
KODY BURKE PTA
295 LAKENHEATH DR
BLOUNTVILLE, TN 37617-4255
Phone number: 423-218-6698
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