Cedric Butler, OTA/L
Individual provider Active NPI Physical Rehabilitation Occupational Therapist · Aztec, NM
NPI 1982172011 · NPPES record last updated Nov 7, 2018
Key facts
- NPI
- 1982172011
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Rehabilitation Occupational Therapist 225XP0019X
- Practice address
- 500 Care LN
Aztec, NM 87410-1552 - Phone
- (505) 334-9445
- NPI assigned
- Nov 7, 2018
- Sex
- Male
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Rehabilitation Occupational Therapist | 225XP0019X | Yes |
Addresses
Primary practice location
500 Care LN
Aztec, NM 87410-1552
Mailing address
500 Care LN
Aztec, NM 87410-1552
Other providers in Aztec, NM
- Racine Bitsoi
- Lance H Black
- Sylvia Bowen
- Tori Lynn Brown
- Sara Burcham
- Amber Button
- Edward Campos
- Sarah Michelle Canion
- Sharon J Carpenter
- Catholic Health Initiatives Colorado
All providers in Aztec, NM · Physical Rehabilitation Occupational Therapist in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 7, 2018. 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.