Individual
KELLY BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
1150 CAMPO SANO AVE, SUITE 200, CORAL GABLES, FL 33146-1174
(786) 268-6203
Mailing address
165 NE 162ND ST, MIAMI, FL 33162-4226
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL 3674
FL
Other
Enumeration date
11/14/2014
Last updated
11/14/2014
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