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General NPI Number Information
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NPI Number | 1609689959
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Entity Type | Individual
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Provider Name | BROOKE CHRISTEN RUTH BUTLER PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 01/30/2025
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Last Update Date | 01/30/2025
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Provider Practice Location Address
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Address Line | EXCEL THERAPY SPECIALISTS, LLC 536 N MAIN STREET
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City | MUSKOGEE
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State | OK
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Zip | 74401-6345
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Country | US
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Telephone | 918-683-8555
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Fax |
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Provider Business Mailing Address
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Address Line | 2234-B W HOUSTON
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City | BROKEN ARROW
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State | OK
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Zip | 74012-3519
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Country | US
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Telephone | 918-259-1888
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Fax | 918-251-3725
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 6640
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License Number State | OK
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