Provider Demographics
NPI:1902490352
Name:BUTHEAU PHYSIOTHERAPY
Entity Type:Organization
Organization Name:BUTHEAU PHYSIOTHERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:PIERRE-YVES
Authorized Official - Middle Name:FREDERIC
Authorized Official - Last Name:BUTHEAU
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:425-281-4171
Mailing Address - Street 1:9965 10TH AVE SW
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98106-2945
Mailing Address - Country:US
Mailing Address - Phone:425-281-4171
Mailing Address - Fax:206-458-6014
Practice Address - Street 1:9965 10TH AVE SW
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98106-2945
Practice Address - Country:US
Practice Address - Phone:425-281-4171
Practice Address - Fax:206-458-6014
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BUTHEAU PHYSIOTHERAPY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-02-25
Last Update Date:2021-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy