Brandon Jacob Butler LPTA

NPI 1023201761 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1023201761
Gender Male
Enumeration Date 08/27/2007
Last Updated 08/27/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
121 ROUND TOP HILL RD SE
MEADVILLE MS, 39653-8140, US
Phone (601) 384-0288
Fax
Business Location
121 ROUND TOP HILL RD SE
MEADVILLE MS, 39653-8140, US
Phone
Fax
Toxanomy
Taxonomy Code 225200000X
License State Mississippi
License Number LPTA4277
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According to our database, Brandon Jacob Butler LPTA NPI is 1023201761, taxonomy code is 225200000X and license number is LPTA4277, license state is located at Mississippi. Brandon Jacob Butler LPTA physically located at 121 Round Top Hill Rd Se, Meadville MS, 39653-8140. NPI Number Brandon Jacob Butler LPTA has the Individual type.

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1023201761 NPI number is provided on an as is basis without warranty of any kind. 1023201761 is maintained by the National Plan & Provider Enumeration System. The contents of Brandon Jacob Butler LPTA are for informational purposes only.