| Doctor Name: | MRS. MYRA MARIE BURKHARDT |
| NPI Number: | 1992813117 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | 5722 |
| Business Practice Address: | 1540 Heritage Blvd Suite 101a West Salem, WI - 546691417 |
| Business Phone Number: | 6087864989 |
| Business Fax Number: | 6087862321 |
| Mailing Address: | 23477 County Highway Y, ROCKLAND |
| State: | WI |
| Postal Code: | 546538707 |
| Phone Number: | 6084864090 |
| Fax Number: | 6084864110 |
| NPI Enumeration Date: | 08/28/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 5722 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MN |
| 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 |