Individual
REBECCA JEAN BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
267 ROCKBRIDGE DR, MADISON, MS 39110-6897
(601) 297-2519
Mailing address
267 ROCKBRIDGE DR, MADISON, MS 39110-6897
(601) 297-2519
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1199680
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
886T40
BXBSTX
TX
Enumeration date
03/19/2013
Last updated
12/16/2013
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