Provider Demographics
NPI:1609689959
Name:BUTLER, BROOKE CHRISTEN RUTH (PT, DPT)
Entity type:Individual
Prefix:
First Name:BROOKE
Middle Name:CHRISTEN RUTH
Last Name:BUTLER
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Gender:F
Credentials:PT, DPT
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Mailing Address - Street 1:2234-B W HOUSTON
Mailing Address - Street 2:
Mailing Address - City:BROKEN ARROW
Mailing Address - State:OK
Mailing Address - Zip Code:74012-3519
Mailing Address - Country:US
Mailing Address - Phone:918-259-1888
Mailing Address - Fax:918-251-3725
Practice Address - Street 1:EXCEL THERAPY SPECIALISTS, LLC
Practice Address - Street 2:536 N MAIN STREET
Practice Address - City:MUSKOGEE
Practice Address - State:OK
Practice Address - Zip Code:74401-6345
Practice Address - Country:US
Practice Address - Phone:918-683-8555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-30
Last Update Date:2025-01-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OK6640225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist