# BOUNCE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528428935
- **Authorized official:** DR. MATTHEW GEORGE BUTLER DPT (OWNER)
- **Authorized official phone:** (770) 891-2098

## Contact information

- **Practice address:** 165 VANN STREET NE, MARIETTA, GA 30060-7249
- **Practice address phone:** (770) 891-2098
- **Practice address fax:** (770) 984-0303
- **Mailing address:** 2125 BARRETT PARK DRIVE, STE 112-B, KENNESAW, GA 30144
- **Mailing address phone:** (770) 891-2098

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/26/2016
- **Last updated:** 02/26/2016