Individual
KOLTON JACK BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
65 E 100 N, CASTLE DALE, UT 84513-4500
(435) 381-4357
Mailing address
65 E 100 N, CASTLE DALE, UT 84513-4500
(435) 381-4357
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
UT
Other
Enumeration date
12/30/2025
Last updated
12/30/2025
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