NPI 1053623157

Butterfly Boutique, LLC

Organisation Prosthetic/Orthotic Supplier Shreveport, LA

Practice location

Address: 1950 E 70th St Suite G, Shreveport, LA 71105-5345
Phone: (318) 798-5991
Fax: (318) 798-5992
Mailing address: 1950 E 70th St STE G, Shreveport, LA 71105-5345

Authorised official

Name: Cherie Byers
Title: Vice President of Operations
Phone: (318) 798-5991

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X Licence C49850 (LA)

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Registry record

NPI: 1053623157
Entity type: Organization
NPI issued: 6 Jul 2010
Record last updated: 14 Mar 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.