Individual
MRS. MEGAN ELISE BUTTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
9630 GROVE CIR N STE 200, MAPLE GROVE, MN 55369-3492
(763) 520-7870
Mailing address
2120 119TH AVE NE, BLAINE, MN 55449-5442
(651) 216-0801
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2111
MN
Other
Enumeration date
08/16/2006
Last updated
03/21/2022
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