Individual
DAVIANA BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
49881 GRAND RIVER AVE, WIXOM, MI 48393-3309
(248) 229-4016
Mailing address
49881 GRAND RIVER AVE, WIXOM, MI 48393-3309
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
210407
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
210407
ATHLETIC CERTIFICATION & TRAINING COMMISSION
—
Enumeration date
06/02/2017
Last updated
06/02/2017
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