Provider Demographics
NPI:1255662151
Name:BUTTS, RAYMOND JOSEPH (PT DPT MS)
Entity type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:JOSEPH
Last Name:BUTTS
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Gender:M
Credentials:PT DPT MS
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Mailing Address - Street 1:9400 WILLIAMSBURG PLZ
Mailing Address - Street 2:STE 100
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40222-5097
Mailing Address - Country:US
Mailing Address - Phone:502-412-4486
Mailing Address - Fax:
Practice Address - Street 1:3010 FARROW RD
Practice Address - Street 2:SUITE 300
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29203-7607
Practice Address - Country:US
Practice Address - Phone:803-434-1210
Practice Address - Fax:803-434-4331
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-18
Last Update Date:2020-09-10
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Provider Licenses
StateLicense IDTaxonomies
SC6104225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist