Provider Demographics
NPI:1891962858
Name:BUTLER REHAB
Entity Type:Organization
Organization Name:BUTLER REHAB
Other - Org Name:CHILDS PLAY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:THRESA
Authorized Official - Middle Name:
Authorized Official - Last Name:BUTLER
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:270-362-4734
Mailing Address - Street 1:72 WHISTLE LN
Mailing Address - Street 2:
Mailing Address - City:GILBERTSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42044-8708
Mailing Address - Country:US
Mailing Address - Phone:270-362-4734
Mailing Address - Fax:270-362-4734
Practice Address - Street 1:72 WHISTLE LN
Practice Address - Street 2:
Practice Address - City:GILBERTSVILLE
Practice Address - State:KY
Practice Address - Zip Code:42044-8708
Practice Address - Country:US
Practice Address - Phone:270-362-4734
Practice Address - Fax:270-362-4734
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-09
Last Update Date:2008-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1623251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health