Individual
INGRID JEAN BUTTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
718 N MAIN ST, GUNNISON, CO 81230-2412
(970) 596-1548
Mailing address
PO BOX 991, GUNNISON, CO 81230-0991
(970) 596-1548
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0009312
CO
Other
Enumeration date
02/26/2013
Last updated
02/26/2013
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