Bonnie Ross Butler, PT,OCS,CSCS

NPI #1255332938 in Salt Lake City, Utah

Provider Information

NPI Number: 1255332938
Entity Type: Individual
Name: Bonnie Ross Butler, PT,OCS,CSCS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT,OCS,CSCS
Enumeration Date: Aug 3, 2005
Last Updated: Dec 1, 2009

Practice Location

Address: 5151 S 900 E
Address 2: #100
City: Salt Lake City
State: Utah
ZIP Code: 84117-6601
Phone: (801) 261-3321

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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