MEDICARE: BUTLER PHYSICAL THERAPY

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
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1396449088
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BUTLER PHYSICAL THERAPY

Provider Business Mailing Address
First Line	:	9797 N GLEN HOLLOW LN
Second Line	:
City	:	HAUSER
State	:	ID
Zip	:	83854-6159
Country	:	US
Telephone Number	:	208-771-3579
Fax Number	:

Provider Business Practice Location Address
First Line	:	9797 N GLEN HOLLOW LN
Second Line	:
City	:	HAUSER
State	:	ID
Zip	:	83854-6159
Country	:	US
Telephone Number	:	208-771-3579
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JENNIFER BUTLER
Credential	:	MPT
Telephone Number	:	208-771-3579

Provider Enumeration Date	:	03/28/2023
Last Update Date	:	05/23/2023

Similar Medicare Providers

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Directions to “BUTLER PHYSICAL THERAPY ” Practice Location

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