Kila Marie Butts, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2020021918 Issued in MO

Practice address

180 Mall Rd Ste K
Hollister, MO 65672-9603

Phone

(417) 263-3045

Fax

(417) 730-1430

NPI assigned

May 24, 2022

Last updated

Aug 25, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1653350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1356089817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 MALL RD STE K",
            "city": "HOLLISTER",
            "state": "MO",
            "postal_code": "656729603",
            "telephone_number": "417-263-3045",
            "fax_number": "417-730-1430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTTS",
        "first_name": "KILA",
        "middle_name": "MARIE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-24",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "CP011440A",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MO",
            "license": "2020021918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Ann Appleman-Eck, MSW, LCSW
• Lanae Danielle Beasley
• Jonathan Chase Britton, HIS, MBA
• Donna Gay Brown
• Bryce Gabriel Burtless, NP
• Canote Pharmacy, Inc (Branson Drug Compounding Center)
• Canote Pharmacy, Inc (Branson Drug in Hollister)
• Jennifer Carlin, LMSW
• Brocklyn N Carson, OT
• Community Christian Counseling

• Physical Therapy Assistant in Hollister, MO
• Providers in Hollister, MO by specialty
• Physical Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.