Provider Demographics
NPI:1770380701
Name:BUTTON, PAT (BA, LMT, CHTP)
Entity type:Individual
Prefix:MS
First Name:PAT
Middle Name:
Last Name:BUTTON
Suffix:
Gender:F
Credentials:BA, LMT, CHTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1105 JEFFERSON ST SE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87108-4450
Mailing Address - Country:US
Mailing Address - Phone:505-362-2608
Mailing Address - Fax:
Practice Address - Street 1:129 JACKSON ST NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87108-1339
Practice Address - Country:US
Practice Address - Phone:505-362-2608
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-27
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM911225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist