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Individual

MR. PHILIP BUTLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC, LAT

Contact information

Practice address
922 WINDSTAR BLVD, FRANKLIN, IN 46131-7379
(812) 614-6699
Mailing address
922 WINDSTAR BLVD, FRANKLIN, IN 46131-7379

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
360000981A
IN

Other

Enumeration date
12/08/2011
Last updated
12/08/2011
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