Individual
LEISA BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5010 TROTWOOD AVE, COLUMBIA, TN 38401-5074
(931) 398-6300
Mailing address
5010 TROTWOOD AVE, COLUMBIA, TN 38401-5074
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8521
TN
Other
Enumeration date
04/20/2024
Last updated
04/20/2024
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