Provider Demographics
NPI:1922092600
Name:BURTON, SHELBY ELIZABETH (RPT)
Entity Type:Individual
Prefix:MRS
First Name:SHELBY
Middle Name:ELIZABETH
Last Name:BURTON
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5524 NE SUNSHINE DR
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64064-2478
Mailing Address - Country:US
Mailing Address - Phone:816-795-6153
Mailing Address - Fax:
Practice Address - Street 1:2100 SWIFT AVE
Practice Address - Street 2:
Practice Address - City:NORTH KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64116-3426
Practice Address - Country:US
Practice Address - Phone:816-474-8877
Practice Address - Fax:816-474-8878
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO117171225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist