Individual
KATHERINE BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1381 SUNSET RDG, WATKINSVILLE, GA 30677-3393
(706) 340-2298
(706) 243-4652
Mailing address
1381 SUNSET RDG, WATKINSVILLE, GA 30677-3393
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT000847
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT000847
GA STATE LICENSE
GA
Enumeration date
11/19/2010
Last updated
11/19/2010
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