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CODY ROSS BUTLER DPT

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1679866453

Individual Registrant:
 CODY ROSS BUTLER DPT
Gender: M
Not Sole Proprietor

Location and contact information for practice:
655 7TH ST BLDG 700 ROBINS AFB, GA 31098-2227 US
Tel: 478-497-7798  Fax: --

Contact information for business:
655 7TH ST BLDG 700 ROBINS AFB, GA 31098-2227 US
Tel: 478-497-7798  Fax: --

Registration Information:
NPI: 1679866453
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
CO

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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