Provider Demographics
NPI:1245530237
Name:BURNEY, BOBI JEAN (DPT)
Entity type:Individual
Prefix:
First Name:BOBI
Middle Name:JEAN
Last Name:BURNEY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:DR
Other - First Name:BOBI
Other - Middle Name:JEAN
Other - Last Name:BURNEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DPT
Mailing Address - Street 1:158 1ST ST
Mailing Address - Street 2:
Mailing Address - City:ESTES PARK
Mailing Address - State:CO
Mailing Address - Zip Code:80517-6354
Mailing Address - Country:US
Mailing Address - Phone:970-577-0174
Mailing Address - Fax:970-577-0143
Practice Address - Street 1:1115 4TH AVE N
Practice Address - Street 2:
Practice Address - City:WOLF POINT
Practice Address - State:MT
Practice Address - Zip Code:59201-1829
Practice Address - Country:US
Practice Address - Phone:406-653-6572
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT9390225100000X
CO10855225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist