LARRY DWAYNE BURNETT

JACKSON, TN
NPI1154351302
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: TN  4703)
Enumeration Date2006-07-04
Last Update Date2009-07-17
Business Address
-- LARRY DWAYNE BURNETT PT
1725 S HIGHLAND AVE STE D
JACKSON, TN 38301-7767
Phone number: 731-421-8116
Mailing Address
-- LARRY DWAYNE BURNETT PT
1804 HIGHWAY 45 BYP STE 604
JACKSON, TN 38305-4436
Phone number: 731-660-8759