Provider Demographics
NPI:1265425730
Name:BUTTERFIELD, JAMES LEE (PT)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:LEE
Last Name:BUTTERFIELD
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:414 SE CORK RD
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34984-6309
Mailing Address - Country:US
Mailing Address - Phone:772-878-4488
Mailing Address - Fax:772-878-4488
Practice Address - Street 1:2000 NEBRASKA AVE
Practice Address - Street 2:
Practice Address - City:FORT PIERCE
Practice Address - State:FL
Practice Address - Zip Code:34950-4833
Practice Address - Country:US
Practice Address - Phone:772-464-3657
Practice Address - Fax:772-464-9240
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL16324225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist