Provider Demographics
NPI:1285158873
Name:FYZIOGYM BUTLER
Entity type:Organization
Organization Name:FYZIOGYM BUTLER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:JANANN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:724-809-1551
Mailing Address - Street 1:402 BOW CT
Mailing Address - Street 2:
Mailing Address - City:SEVEN FIELDS
Mailing Address - State:PA
Mailing Address - Zip Code:16046-4355
Mailing Address - Country:US
Mailing Address - Phone:724-809-1551
Mailing Address - Fax:724-799-8831
Practice Address - Street 1:542 EVANS CITY RD
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-8608
Practice Address - Country:US
Practice Address - Phone:724-809-1551
Practice Address - Fax:724-799-8831
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-26
Last Update Date:2017-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty