Provider Demographics
NPI:1538536206
Name:BURNS, MARCI
Entity type:Individual
Prefix:
First Name:MARCI
Middle Name:
Last Name:BURNS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MARCI
Other - Middle Name:
Other - Last Name:KATES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5 HILLTOP TER
Mailing Address - Street 2:
Mailing Address - City:CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01824-1860
Mailing Address - Country:US
Mailing Address - Phone:978-387-5967
Mailing Address - Fax:
Practice Address - Street 1:121 BRICK KILN RD
Practice Address - Street 2:
Practice Address - City:CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01824-3259
Practice Address - Country:US
Practice Address - Phone:978-391-9330
Practice Address - Fax:617-741-9054
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-28
Last Update Date:2020-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA21892172M00000X
NH4600225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No172M00000XOther Service ProvidersMechanotherapist