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NPI Code Detail

MEDICARE: BUTLER PT, LLC

MEDICARE: BUTLER PT, LLC
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 Therapist

General Provider Information

NPI Number : 1801860127
Entity Type Code : Organization
Provider Name (Legal Business Name) : BUTLER PT, LLC
Provider Business Mailing Address
First Line : 160 MEDICAL CENTER RD
Second Line : CHICORA MEDICAL CENTER PROFESSIONAL BUILDING
City : CHICORA
State : PA
Zip : 16025-2612
Country : US
Telephone Number : 724-445-2057
Fax Number : 724-282-6624
Provider Business Practice Location Address
First Line : 160 MEDICAL CENTER RD
Second Line : CHICORA MEDICAL CENTER PROFESSIONAL BUILDING
City : CHICORA
State : PA
Zip : 16025-2612
Country : US
Telephone Number : 724-445-2057
Fax Number : 724-282-6624
Authorized Official
Title or Position : PARTNER
Name : MR. RICHARD A CORBETT
Credential : P.T.
Telephone Number : 724-445-2057
Provider Enumeration Date : 02/14/2006
Last Update Date : 08/22/2020

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