Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ernest Owen Butkovich734-712, PTA

Individual provider Physical Therapy Assistant · NPI 1982191482

Ernest Owen Butkovich734-712, PTA is a Physical Therapy Assistant in Ypsilanti, Michigan. Licensed in Michigan. Registered with an NPI since 2018.

Licensed in
MI
In the registry since
2018
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

5301 E Huron River Dr
Ypsilanti, MI 48197-1051
Phone: (734) 712-2365
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 5502000703 (MI)

Record details

NPI number1982191482
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedApril 19, 2018
Last updated in NPPESApril 19, 2018

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