Individual
REBECCA SUE BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
425 GRAND AVE, BILLINGS, MT 59101-5924
(406) 281-5400
Mailing address
1500 UNIVERSITY DR, BILLINGS, MT 59101-0245
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
MT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
390200000X
390200000X
—
Enumeration date
03/07/2019
Last updated
09/13/2021
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