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Individual

KENNETH PATRICK BUTLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
2000 MEDICAL PKWY STE 404, ANNAPOLIS, MD 21401-3746
(443) 481-1140
Mailing address
8831 S RUSSELL PARK RD, SALT LAKE CITY, UT 84121-6140
(801) 712-3251

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12441920-2401
UT

Other

Enumeration date
09/24/2021
Last updated
09/24/2021
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