Derek J Butler, LAT, ATC

NPI #1194887679 in Marinette, Wisconsin

Provider Information

NPI Number
1194887679
Entity Type
Individual
Name
Derek J Butler, LAT, ATC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
LAT, ATC
Enumeration Date
Dec 14, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
1514 ELIZABETH AVE
ZIP Code
54143-3220
Phone
(715) 735-9433

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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