Individual
JORDAN BUTAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
81 MAKAWAO AVE STE 110, MAKAWAO, HI 96768-8859
(808) 572-2281
(808) 573-5869
Mailing address
81 MAKAWAO AVE STE 110, MAKAWAO, HI 96768-8859
(808) 572-2281
(808) 573-5869
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
13438
AZ
225100000X
Physical Therapist
Primary
5202
HI
Other
Enumeration date
11/27/2017
Last updated
06/19/2021
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