Individual
JOHN LAWRENCE BUTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3912 10TH ST SE, STE A, PUYALLUP, WA 98374-2188
(253) 848-4700
Mailing address
3912 10TH ST SE, STE A, PUYALLUP, WA 98374-2188
(253) 848-4700
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00002255
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17717
LABOR & INDUSTRIES
WA
05
—
8149106
—
WA
Enumeration date
08/30/2006
Last updated
02/22/2011
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