| Mrs Myra Marie Burkhardt, PT | |
|
1540 Heritage Blvd, Suite 101a, West Salem, WI 54669-1417 | |
| (608) 786-4989 | |
| (608) 786-2321 |
| Full Name | Mrs Myra Marie Burkhardt |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 1540 Heritage Blvd, West Salem, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992813117 | NPI | - | NPPES |
| 3650-024 | Other | WI | WI STATE PT LICENSE # |
| 5722 | Other | MN | MN STATE LICENSE # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 3650-024 (Wisconsin) | Primary |
| 225100000X | Physical Therapist | 5722 (Minnesota) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Myra Marie Burkhardt, PT 23477 County Highway Y, Rockland, WI 54653-8707 Ph: (608) 486-4090 | Mrs Myra Marie Burkhardt, PT 1540 Heritage Blvd, Suite 101a, West Salem, WI 54669-1417 Ph: (608) 786-4989 |
Dr. Alyssa Kay Chmielewski, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1555 Heritage Blvd, West Salem, WI 54669 Phone: 608-786-4989 | |
Sam Adam Mason, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 923 Garland St E, West Salem, WI 54669 Phone: 608-786-4800 | |
Karen J Bonifas, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 713 N Leonard St, West Salem, WI 54669 Phone: 608-786-2274 | |
Anna Lucht, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1555 Heritage Blvd, West Salem, WI 54669 Phone: 608-786-4989 | |
Cynthia Marie Teske, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1540 Heritage Blvd, West Salem, WI 54669 Phone: 608-786-4989 Fax: 608-786-2321 | |
Lauren Renee Harding, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1555 Heritage Blvd, West Salem, WI 54669 Phone: 608-786-4989 | |
Ms. Melanie Rose Maske, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1555 Heritage Blvd, West Salem, WI 54669 Phone: 608-786-4989 |