Provider Demographics
NPI:1114133691
Name:BUTLER, LINDA LEE (RRT)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:LEE
Last Name:BUTLER
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5325 W LA SALLE ST
Mailing Address - Street 2:
Mailing Address - City:LAVEEN
Mailing Address - State:AZ
Mailing Address - Zip Code:85339-2471
Mailing Address - Country:US
Mailing Address - Phone:623-261-4457
Mailing Address - Fax:
Practice Address - Street 1:5325 W LA SALLE ST
Practice Address - Street 2:
Practice Address - City:LAVEEN
Practice Address - State:AZ
Practice Address - Zip Code:85339-2471
Practice Address - Country:US
Practice Address - Phone:623-261-4457
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA25263227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered