Individual
JEREMIAH BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8540 SCARBOROUGH DR, COLORADO SPRINGS, CO 80920-7502
(719) 630-7500
Mailing address
18 CASTLE ROYAL DR, PUEBLO, CO 81005-2109
(303) 594-8433
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-0599
WY
Other
Enumeration date
06/18/2011
Last updated
06/18/2011
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