Individual
JODY JEAN BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
1130 N CHURCH ST, SUITE 201, GREENSBORO, NC 27401-1038
(336) 375-4263
(336) 275-2286
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217
(423) 954-7408
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P5780
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
177UV
BCBS
NC
05
—
7213091
—
NC
Enumeration date
03/19/2013
Last updated
06/16/2014
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