Provider Demographics
NPI:1588813760
Name:BURRER, KARA RENEE (LMT)
Entity Type:Individual
Prefix:MS
First Name:KARA
Middle Name:RENEE
Last Name:BURRER
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1915 N RIDGE RD E
Mailing Address - Street 2:
Mailing Address - City:LORAIN
Mailing Address - State:OH
Mailing Address - Zip Code:44055-3344
Mailing Address - Country:US
Mailing Address - Phone:440-240-9390
Mailing Address - Fax:440-240-9370
Practice Address - Street 1:1915 N RIDGE RD E
Practice Address - Street 2:
Practice Address - City:LORAIN
Practice Address - State:OH
Practice Address - Zip Code:44055-3344
Practice Address - Country:US
Practice Address - Phone:440-240-9390
Practice Address - Fax:440-240-9370
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-12
Last Update Date:2008-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH33 013764225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH$$$$$$$$$00OtherBWC