Laura Beth Butler, PTA
Individual provider Active NPI Physical Therapy Assistant · Wynne, AR
NPI 1013460179 · NPPES record last updated Jun 13, 2023
Key facts
- NPI
- 1013460179
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 4129 (AR)
- Practice address
- 661 Highway 64B
Wynne, AR 72396-8506 - Phone
- (870) 208-4208
- NPI assigned
- Jul 25, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4129 | AR | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 4129 | AR | Yes |
Addresses
Primary practice location
661 Highway 64B
Wynne, AR 72396-8506
Mailing address
1919 US 64 West
Wynne, AR 72396-8506
Phone (870) 208-6370
Other providers in Wynne, AR
- Barbara Ann Burgess
- Willard Gene Burks
- Laynee Paige Burnett
- Sarah Hamilton Burrows
- Leanna Burton
- Brandi Caffey
- Caldwell Clinical Services LLC
- Caldwell Discount Drug
- Caldwell Discount Drug Co Inc
- Caldwell Discount Drug Co., Inc.
All providers in Wynne, AR · Physical Therapy Assistant in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.