Healthcare Provider Details

I. General information

NPI: 1437891934
Provider Name (Legal Business Name): BUTTERFLY HANDS HEALTH SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2022
Last Update Date: 04/13/2022
Certification Date: 04/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

195 W RODEO RD
CASA GRANDE AZ
85122-6221
US

IV. Provider business mailing address

195 W RODEO RD
CASA GRANDE AZ
85122-6221
US

V. Phone/Fax

Practice location:
  • Phone: 304-886-8914
  • Fax:
Mailing address:
  • Phone: 304-886-8914
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: KATLYN MARIE FRAZIER
Title or Position: CEO
Credential: RN
Phone: 304-886-8914