Doctor Name: | CHRISTOPHER BUTLER |
NPI Number: | 1588030761 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | PT5813 |
Business Practice Address: | 711 Avignon Dr Ridgeland, MS - 391575120 |
Business Phone Number: | 6016056777 |
Business Fax Number: | 6016071415 |
Mailing Address: | Po Box 9178, RUSSELLVILLE |
State: | AR |
Postal Code: | 728119178 |
Phone Number: | 8666411552 |
Fax Number: | 4799681673 |
NPI Enumeration Date: | 08/11/2015 |
NPI Last Update Date: | 08/11/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT5813 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
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 |