Individual
TIMOTHY ABRAHAM BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
901 S NATIONAL AVE # PROF417, SPRINGFIELD, MO 65897-0001
(417) 836-8220
Mailing address
1301 OLD MILL CIR APT F, FAIR GROVE, MO 65648-8601
(760) 694-7496
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/08/2026
Last updated
05/08/2026
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