Individual
KILA MARIE BUTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
180 MALL RD STE K, HOLLISTER, MO 65672-9603
(417) 263-3045
(417) 730-1430
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7217
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
CP011440A
AR
225200000X
Physical Therapy Assistant
Primary
2020021918
MO
Other
Enumeration date
05/24/2022
Last updated
08/25/2022
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