Individual
FELICE MNL BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1630 E SOUTHERN AVE, MESA, AZ 85204-5220
(480) 472-5955
Mailing address
2476 S NIELSON ST, GILBERT, AZ 85295-7139
(434) 660-9686
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATR-001702
AZ
Other
Enumeration date
01/13/2020
Last updated
01/13/2020
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