Individual
JEREMY BUTTRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4405 E RIDGEVIEW LN, BYRON, IL 61010-9391
(815) 312-6872
Mailing address
4405 E RIDGEVIEW LN, BYRON, IL 61010-9391
(815) 312-6872
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160003564
IL
Other
Enumeration date
10/10/2025
Last updated
10/10/2025
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