Provider Demographics
NPI:1851401772
Name:BUTLER, CHRISTOPHER RAY (DC)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:RAY
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 1:85 W COMBS RD
Mailing Address - Street 2:SUITE 109
Mailing Address - City:SAN TAN VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85140-9105
Mailing Address - Country:US
Mailing Address - Phone:480-882-9105
Mailing Address - Fax:480-458-5833
Practice Address - Street 1:85 W COMBS RD
Practice Address - Street 2:SUITE 109
Practice Address - City:SAN TAN VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85140-9105
Practice Address - Country:US
Practice Address - Phone:480-882-9105
Practice Address - Fax:480-458-5833
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2015-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7506111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ84372Medicare PIN
AZ201521906Medicare UPIN