Provider Demographics
NPI:1083020630
Name:BUTLER, MARIA (DPT)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:BUTLER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1385 S. COLORADO BLVD.
Mailing Address - Street 2:BLDG. A, SUITE 620
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-3324
Mailing Address - Country:US
Mailing Address - Phone:303-691-3733
Mailing Address - Fax:303-691-1142
Practice Address - Street 1:600 FORBES AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15219-3016
Practice Address - Country:US
Practice Address - Phone:330-990-0714
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-03
Last Update Date:2017-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0013025225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist