Organization
TRAVELING PHYSICAL THERAPIST PLLC
Active
Other names
TPT
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BARBARA KAY BUTLER ORTHOTIST (CEO)
(928) 515-1748
Entity
Organization
Contact information
Practice address
520 W SHELDON ST, STE 6, PRESCOTT, AZ 86301-2717
(928) 515-1748
(928) 445-5054
Mailing address
353 CIMARRON CT, PRESCOTT, AZ 86301-1563
(928) 515-4178
(928) 233-6932
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
C51320
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C51320
ORTHOTIST
AZ
Enumeration date
03/15/2017
Last updated
03/15/2017
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