Individual
DR. TRACI RENEA BUTLER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
604 10TH ST, DE WITT, IA 52742-1337
(563) 659-2225
Mailing address
PO BOX 285, DE WITT, IA 52742-0285
(563) 659-2225
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
A06010
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22538
MIDLAND CHOICE
IA
01
—
59955
WELLMARK BC / BS
IA
Enumeration date
06/06/2006
Last updated
07/08/2007
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