Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Miss. Susannette Burroughs, MSED, BCMTB

Individual provider Mechanotherapist · NPI 1316499916

Miss. Susannette Burroughs, MSED, BCMTB is a Mechanotherapist in Piedmont, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2016

Practice location Address checks out

922 1/2 Rose Ave
Piedmont, CA 94611-4342
Phone: (650) 919-3054
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mechanotherapist (primary) Taxonomy 172M00000X · Licence 71956 (CA)

Record details

NPI number1316499916
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSED , BCMTB
Sole proprietorYes
NPI enumeratedOctober 29, 2016
Last updated in NPPESSeptember 16, 2024
Certification dateSeptember 16, 2024