SHAWN LEE BURKE

HAYDEN, ID
NPI1154968139
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: ID  PTA-097)
Enumeration Date2019-12-09
Last Update Date2019-12-09
Business Address
SHAWN LEE BURKE PTA
827 W PRAIRIE AVE
HAYDEN, ID 83835-8459
Phone number: 208-660-9378
Mailing Address
SHAWN LEE BURKE PTA
1022 N HARLEQUIN DR
POST FALLS, ID 83854-7573
Phone number: 208-660-9378