MEDICARE: MR. CHRISTOPHER PETER BUTLER MPT

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	2251X0800X	Orthopedic Physical Therapist	20272	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	61294603	OTHER	MD	CAREFIRST OF MARYLAND
2	2123802	OTHER	MD	MAMSI

General Provider Information

NPI Number	:	1669479382
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. CHRISTOPHER PETER BUTLER MPT

Provider Business Mailing Address
First Line	:	75 THOMAS JOHNSON DRIVE
Second Line	:	SUITE L
City	:	FREDERICK
State	:	MD
Zip	:	21702-4895
Country	:	US
Telephone Number	:	301-698-9956
Fax Number	:	301-698-9957

Provider Business Practice Location Address
First Line	:	75 THOMAS JOHNSON DRIVE
Second Line	:	SUITE L
City	:	FREDERICK
State	:	MD
Zip	:	21702-4895
Country	:	US
Telephone Number	:	301-698-9956
Fax Number	:	301-698-9957

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	07/08/2007

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Directions to “ MR. CHRISTOPHER PETER BUTLER MPT” Practice Location

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