Provider Demographics
NPI:1669479382
Name:BUTLER, CHRISTOPHER PETER (MPT)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:PETER
Last Name:BUTLER
Suffix:
Gender:M
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 THOMAS JOHNSON DRIVE
Mailing Address - Street 2:SUITE L
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21702-4895
Mailing Address - Country:US
Mailing Address - Phone:301-698-9956
Mailing Address - Fax:301-698-9957
Practice Address - Street 1:75 THOMAS JOHNSON DRIVE
Practice Address - Street 2:SUITE L
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21702-4895
Practice Address - Country:US
Practice Address - Phone:301-698-9956
Practice Address - Fax:301-698-9957
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD202722251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD61294603OtherCAREFIRST OF MARYLAND
MD2123802OtherMAMSI
MD61294603OtherCAREFIRST OF MARYLAND