Kyle Burraston, PT
Physical Therapist in Murray, UT. Individual provider (NPI-1).
NPI number1477869733
StatusActive
Last updated in NPPESAug 25, 2010
Details
- NPI
- 1477869733
- Entity type
- Individual (NPI-1)
- Name
- Mr. Kyle Burraston
- Credential
- PT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 25, 2010
- Last updated
- Aug 25, 2010
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 295026-2401 | UT | Yes |
Practice location
5121 Cottonwood StMurray, UT 84107-5701
Phone 801-507-7585
Mailing address
5121 Cottonwood StMurray, UT 84107-5701
Phone 801-507-7585
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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