| Mr Trent Lydell Butler, PT | |
|
1883 Highway 43 S, Suite C, Canton, MS 39046-8405 | |
| (601) 859-2906 | |
| (601) 859-0483 |
| Full Name | Mr Trent Lydell Butler |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1883 Highway 43 S, Canton, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043241722 | NPI | - | NPPES |
| P00147565 | Other | MS | RRMEDICARE |
| 512I650002 | Other | MS | OLD MEDICARE PTAN |
| 00126758 | Medicaid | MS | |
| 302II655874 | Other | MS | PROVIDER TRANSACTION ACCESS NUMBER |
| P00618853 | Other | MS | UP MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT1156 (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Trent Lydell Butler, PT 1883 Highway 43 S, Suite C, Canton, MS 39046-8405 Ph: (601) 859-2906 | Mr Trent Lydell Butler, PT 1883 Highway 43 S, Suite C, Canton, MS 39046-8405 Ph: (601) 859-2906 |
Joel Maier, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 300 Nissan Dr, Canton, MS 39046 Phone: 601-855-6010 | |
Mr. Jeffrey Paul Hodges, PT, ATC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1883 Highway 43 S, Suite C, Canton, MS 39046 Phone: 601-859-2906 | |
James Rankin, PTA Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 908 E Peace St, Canton, MS 39046 Phone: 601-636-6019 Fax: 601-661-8457 | |
Performance Rehab Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 276 Nissan Pkwy, Building F, Ste 400, Canton, MS 39046 Phone: 601-859-3776 Fax: 601-859-3778 | |
Physical Therapy Works Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3091 S Liberty St, Canton, MS 39046 Phone: 601-859-3131 Fax: 601-859-1101 | |
Drayer Physical Therapy Institute Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 276 Nissan Pkwy, Building F, Ste 400, Canton, MS 39046 Phone: 601-859-3776 Fax: 601-859-3778 |