Individual
KAYLA ELIZABETH BUTTKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3005 S RIVERSIDE DR STE 103, BELOIT, WI 53511-1500
(608) 313-8600
(608) 312-2406
Mailing address
1901 1/2 W 7TH AVE, BRODHEAD, WI 53520-2041
(608) 588-9168
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5455-27
WI
Other
Enumeration date
12/15/2017
Last updated
12/15/2017
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