MEDICARE: MICHELLE K BUTLER PT, DPT

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	070-016577	IL

General Provider Information

NPI Number	:	1851548713
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE K BUTLER PT, DPT

Provider Business Mailing Address
First Line	:	1333 W BELMONT AVE STE 350
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60657-5785
Country	:	US
Telephone Number	:	312-921-0330
Fax Number	:	312-921-0406

Provider Business Practice Location Address
First Line	:	1333 W BELMONT AVE STE 350
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60657-5785
Country	:	US
Telephone Number	:	312-921-0330
Fax Number	:	312-921-0406

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

Provider Enumeration Date	:	08/22/2008
Last Update Date	:	10/06/2025

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