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NPI Code Detail

MEDICARE: MR. RAYMOND JOHN BUTTERFILED PT

MEDICARE: MR. RAYMOND JOHN BUTTERFILED PT
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 TherapistPT000454EPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1790967107
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RAYMOND JOHN BUTTERFILED PT
Provider Business Mailing Address
First Line : 81 CLARION RD
Second Line : SUITE 6
City : JOHNSONBURG
State : PA
Zip : 15845-1656
Country : US
Telephone Number : 814-965-5810
Fax Number : 814-965-2200
Provider Business Practice Location Address
First Line : 81 CLARION RD
Second Line : SUITE 6
City : JOHNSONBURG
State : PA
Zip : 15845-1656
Country : US
Telephone Number : 814-965-5810
Fax Number : 814-965-2200
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2007
Last Update Date : 11/28/2007

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