Doctor Name: | MS. ROBERTA LEE BUTLER |
NPI Number: | 1174867444 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | PT00003888 |
Business Practice Address: | 1637 Grant St Grant St. Elementary School Port Townsend, WA - 983687622 |
Business Phone Number: | 3603794260 |
Business Fax Number: | 3603794548 |
Mailing Address: | 1619 Blaine St, PORT TOWNSEND |
State: | WA |
Postal Code: | 983686405 |
Phone Number: | 3603794260 |
Fax Number: | 3603794548 |
NPI Enumeration Date: | 11/26/2012 |
NPI Last Update Date: | 11/26/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT00003888 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |