Individual
BRYAN J BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
306 10TH AVE SE, OLYMPIA, WA 98501-1340
(360) 359-0767
Mailing address
PO BOX 7492, OLYMPIA, WA 98507-7492
(360) 359-0767
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 60070300
WA
Other
Enumeration date
09/16/2010
Last updated
09/16/2010
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