| Doctor Name: | MR. JOHN EDGAR BURNETT |
| NPI Number: | 1093962276 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.P.T. |
| License Number: | 2004006979 |
| Business Practice Address: | 509 Meadowlark Ave Crane, MO - 656339317 |
| Business Phone Number: | 4177235281 |
| Business Fax Number: | 4177235443 |
| Mailing Address: | 2112 W Jackson St, BOLIVAR |
| State: | MO |
| Postal Code: | 656131886 |
| Phone Number: | 4177774789 |
| Fax Number: | |
| NPI Enumeration Date: | 08/19/2008 |
| NPI Last Update Date: | 08/19/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 2004006979 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |