Provider Demographics
NPI:1124314455
Name:BUTTERFIELD, RITA M (OTR/L)
Entity type:Individual
Prefix:MS
First Name:RITA
Middle Name:M
Last Name:BUTTERFIELD
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:RITA
Other - Middle Name:A
Other - Last Name:MCRAITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:19235 15TH AVE NW
Mailing Address - Street 2:
Mailing Address - City:SHORELINE
Mailing Address - State:WA
Mailing Address - Zip Code:98177-2725
Mailing Address - Country:US
Mailing Address - Phone:206-546-2666
Mailing Address - Fax:206-542-1164
Practice Address - Street 1:19235 15TH AVE NW
Practice Address - Street 2:
Practice Address - City:SHORELINE
Practice Address - State:WA
Practice Address - Zip Code:98177-2725
Practice Address - Country:US
Practice Address - Phone:206-546-2666
Practice Address - Fax:206-542-1164
Is Sole Proprietor?:No
Enumeration Date:2011-06-24
Last Update Date:2011-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOT 00000484225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist