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NPI Code Detail

MEDICARE: COURTNEY L BUTHOD MSPT

MEDICARE:   COURTNEY L BUTHOD  MSPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist3740OK

General Provider Information

NPI Number : 1316915283
Entity Type Code : Individual
Provider Name (Legal Business Name) : COURTNEY L BUTHOD MSPT
Provider Business Mailing Address
First Line : 6767 S YALE AVE
Second Line : STE B
City : TULSA
State : OK
Zip : 74136-3302
Country : US
Telephone Number : 918-481-3390
Fax Number : 918-481-3510
Provider Business Practice Location Address
First Line : 8011 S SHERIDAN RD
Second Line : STE B
City : TULSA
State : OK
Zip : 74133
Country : US
Telephone Number : 918-481-3390
Fax Number : 918-481-3510
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2006
Last Update Date : 05/09/2017

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Directions to “ COURTNEY L BUTHOD MSPT” Practice Location

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