Provider Demographics
NPI:1356755912
Name:BUTLER, SARA A (DPT)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:A
Last Name:BUTLER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:A
Other - Last Name:MUELLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:1818 DOCTORS DR
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27330-5057
Mailing Address - Country:US
Mailing Address - Phone:919-895-6340
Mailing Address - Fax:919-718-6991
Practice Address - Street 1:1818 DOCTORS DR
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:NC
Practice Address - Zip Code:27330-5057
Practice Address - Country:US
Practice Address - Phone:919-895-6340
Practice Address - Fax:919-718-6991
Is Sole Proprietor?:No
Enumeration Date:2014-06-11
Last Update Date:2015-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP14962225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist