Brandon Jacob Butler, LPTA

NPI #1023201761 in Meadville, Mississippi

Provider Information

NPI Number: 1023201761
Entity Type: Individual
Name: Brandon Jacob Butler, LPTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: LPTA
Enumeration Date: Aug 27, 2007
Last Updated: Aug 27, 2007

Practice Location

Address: 121 ROUND TOP HILL RD SE
City: Meadville
State: Mississippi
ZIP Code: 39653-8140
Phone: (601) 384-0288

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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