Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | 36473 | FL |
NPI | 1003411380 |
---|---|
Provider Name | Dr. Ryan Butz |
First Address | Royal Palm Beach, FL 33411-1213 |
Second Address | Royal Palm Beach, FL 33411-1213 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/12/2020 |
Last Update Date | 03/12/2020 |