TY BURGESS

JEFFERSON CITY, MO
NPI1700341278
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MO  2018028389)
Enumeration Date2019-02-08
Last Update Date2019-02-08
Business Address
TY BURGESS
205 JEFFERSON ST
JEFFERSON CITY, MO 65101-2901
Phone number: 573-751-2194
Mailing Address
TY BURGESS
6112 E FORSEE RD
ASHLAND, MO 65010-9296
Phone number:
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