Doctor Name: | BARRY BUTLER |
NPI Number: | 1023094968 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | PT786 |
Business Practice Address: | 11 Hills Beach Rd Biddeford, ME - 040059526 |
Business Phone Number: | 2072848650 |
Business Fax Number: | 2076025929 |
Mailing Address: | 11 Hills Beach Rd, BIDDEFORD |
State: | ME |
Postal Code: | 040059526 |
Phone Number: | 2072848650 |
Fax Number: | 2076025929 |
NPI Enumeration Date: | 12/22/2005 |
NPI Last Update Date: | 10/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | PT786 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |