Burt, Tara Elaine

Burt, Tara Elaine is an sole proprietor health care provider with primary practice located at 7900 Airways Blvd. Building A Suite 2, Southaven MS 38671. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Burt, Tara Elaine can be contacted via phone (662) 536-4096.

Contact Information

Primary practice address
7900 Airways Blvd. Building A Suite 2 Southaven MS 38671
Phone: (662) 536-4096
Fax: (662) 536-4099
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 5706 Mississippi

Profile Details

NPI number 1073983052
LBN Legal business name Burt, Tara Elaine
Credentials PT, DPT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 2nd, 2015
Last updated Oct 3rd, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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