Tabitha Butler, | |
6545 Flying Cloud Dr Ste 201, Eden Prairie, MN 55344-3356 | |
(612) 364-1901 | |
Not Available |
Full Name | Tabitha Butler |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 6545 Flying Cloud Dr Ste 201, Eden Prairie, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487422648 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 13360 (Minnesota) | Primary |
Provider Name | Odom Sports Medicine Pa |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1275557886 PECOS PAC ID: 0143485607 Enrollment ID: O20120706000533 |
Mailing Address | Practice Location Address |
---|---|
Tabitha Butler, 6545 Flying Cloud Dr Ste 201, Eden Prairie, MN 55344-3356 Ph: () - | Tabitha Butler, 6545 Flying Cloud Dr Ste 201, Eden Prairie, MN 55344-3356 Ph: (612) 364-1901 |
Riley Bren, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6545 Flying Cloud Dr Ste 201, Eden Prairie, MN 55344 Phone: 612-364-1901 | |
Hannah Mae Stefani, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6485 City West Pkwy, Eden Prairie, MN 55344 Phone: 952-933-1150 Fax: 952-930-3304 | |
Kaitlin Vaith, Physical Therapist Medicare: Medicare Enrolled Practice Location: 6545 Flying Cloud Dr Ste 201, Eden Prairie, MN 55344 Phone: 612-364-1901 | |
John A Corbo, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 775 Prairie Center Dr, 250, Eden Prairie, MN 55344 Phone: 952-944-5314 | |
Daniel Himmerick, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 775 Prairie Center Dr Ste 250, Eden Prairie, MN 55344 Phone: 952-944-5314 Fax: 952-944-0092 | |
Christopher Hart, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 775 Prairie Center Dr Ste 250, Eden Prairie, MN 55344 Phone: 952-944-5314 | |
Nathaniel L Peterson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 12982 Valley View Rd, Eden Prairie, MN 55344 Phone: 952-944-2519 Fax: 952-944-0092 |