Provider Demographics
NPI:1427376805
Name:BUTLER, RHETT (DC)
Entity Type:Individual
Prefix:DR
First Name:RHETT
Middle Name:
Last Name:BUTLER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9726 TOUCHTON RD STE 301
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32246-8307
Mailing Address - Country:US
Mailing Address - Phone:904-928-3884
Mailing Address - Fax:
Practice Address - Street 1:9726 TOUCHTON RD STE 301
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32246-8307
Practice Address - Country:US
Practice Address - Phone:904-928-3884
Practice Address - Fax:904-541-8733
Is Sole Proprietor?:No
Enumeration Date:2010-05-11
Last Update Date:2020-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9879111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor