Individual
NICHOLAS LEE BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4920 CYPRESS ST, UNITS C & D, WEST MONROE, LA 71291-7674
(318) 397-3331
(318) 397-3336
Mailing address
4920 CYPRESS ST, UNITS C & D, WEST MONROE, LA 71291-7674
(318) 397-3331
(318) 397-3336
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
07424
LA
225100000X
Physical Therapist
Primary
07424
LA
Other
Enumeration date
03/25/2009
Last updated
09/28/2011
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