IndividualActive
Brian Burkhartzmeyer, LIC C. PED
NPI 1083468284 · Pedorthist · Faribault, MN
Provider details
- NPI number
- 1083468284
- Entity type
- Individual
- Primary specialty
- PedorthistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LIC C. PED
- Sex
- Male
- Sole proprietor
- No
Practice location
128 Central Ave North
Faribault, MN 55021
Phone: (507) 334-7774
Fax: (507) 334-9256
Mailing address
128 Central Ave North
Faribault, MN 55021
Registry dates
- Enumerated
- 2024-04-15
- Last updated
- 2024-04-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.