Provider Demographics
NPI:1255753620
Name:BUTLER, ANNE (LMT)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:
Last Name:BUTLER
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 E 7TH ST
Mailing Address - Street 2:
Mailing Address - City:POTTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19464-5229
Mailing Address - Country:US
Mailing Address - Phone:610-505-2017
Mailing Address - Fax:
Practice Address - Street 1:215 W CHURCH RD
Practice Address - Street 2:SUITE 112
Practice Address - City:KING OF PRUSSIA
Practice Address - State:PA
Practice Address - Zip Code:19406-3203
Practice Address - Country:US
Practice Address - Phone:610-505-2017
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-20
Last Update Date:2014-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMSG001680172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist