Provider Demographics
NPI:1508076084
Name:BURKEYBILE, TIFFANY N (PT)
Entity Type:Individual
Prefix:
First Name:TIFFANY
Middle Name:N
Last Name:BURKEYBILE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:803 EASTVIEW DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:MO
Mailing Address - Zip Code:64085-1118
Mailing Address - Country:US
Mailing Address - Phone:816-797-1901
Mailing Address - Fax:
Practice Address - Street 1:300 W BROADWAY ST
Practice Address - Street 2:SPECIAL SERVICES - CLAIM CARE
Practice Address - City:EXCELSIOR SPRINGS
Practice Address - State:MO
Practice Address - Zip Code:64024-2102
Practice Address - Country:US
Practice Address - Phone:816-792-3782
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2016-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2005028001225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist