Butcher, Kage D

Butcher, Kage D is an individual health care provider with primary practice located at 1210 S Lapeer Rd , Lake Orion MI 48360-1433. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Butcher, Kage D can be contacted via phone (248) 814-8060.

Contact Information

Primary practice address
1210 S Lapeer Rd Lake Orion MI 48360-1433
Phone: (248) 814-8060
Fax: (248) 814-8070
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 5501009997 Michigan
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 109402413 Michigan

Profile Details

NPI number 1386808152
LBN Legal business name Butcher, Kage D
Credentials MSPT, ATC, CSCS
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2008
Last updated Jan 28th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1386808152 NPPES
Michigan Other 650E61190 BCBS

Popular Providers