Individual
DR. RICHARD M BUTTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Contact information
Practice address
2530 N 161ST ST, OMAHA, NE 68116-2091
(402) 630-4435
(402) 502-1807
Mailing address
2530 N 161ST ST, OMAHA, NE 68116-2091
(402) 630-4435
(402) 502-1807
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1674
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
470805963
FEDERAL TAX ID #
NE
05
—
47080596300
—
NE
Enumeration date
10/31/2006
Last updated
07/09/2007
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