Search › Missouri › 225100000X
Ty Burgess
NPI 1700341278 · on the registry since 2019
Practice
- Address
- 205 Jefferson St
Jefferson City, MO 65101 - Phone
- (573) 751-2194
- Organisation at this address
- State Of Missouri
Missouri Veterans Commission
Missouri Schools For The Severely DisabledInferred from a shared address, not stated in the registry. - Clinicians at this address
- 9
Additional practice sites
- 1424 Montclair Rd, Irondale, AL
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-04-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri