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Individual

MRS. CAITLIN E BUTTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
2065 E SOUTH BLVD, STE 101, MONTGOMERY, AL 36116-2458
(334) 288-8358
(334) 288-9681
Mailing address
PO BOX 441146, SUITE 300, KENNESAW, GA 30160-9522
(770) 917-1395

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH6379
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12504756
CAQH
AL
01
511-23756
BCBS OF AL
AL
01
511-23759
BCBS OF AL
AL
01
511-33644
BCBS OF AL
AL
01
511-43506
BCBS OF AL
AL
01
P01583941
RR MEDICARE
AL
Enumeration date
02/08/2012
Last updated
10/20/2016
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