Provider Demographics
NPI:1093908733
Name:BURNS, STEVEN M (PT)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:M
Last Name:BURNS
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:970 E. EMORY RD
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37938
Mailing Address - Country:US
Mailing Address - Phone:865-947-3797
Mailing Address - Fax:865-947-3798
Practice Address - Street 1:970 E. EMORY RD
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37938
Practice Address - Country:US
Practice Address - Phone:865-947-3797
Practice Address - Fax:865-947-3798
Is Sole Proprietor?:No
Enumeration Date:2007-08-27
Last Update Date:2009-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5510208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3717547OtherMEDICARE LEGACY GROUP
TN3717547OtherMEDICARE LEGACY GROUP