Individual
MISS CASSIDY BUTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10089 POPLAR HALL CT, MECHANICSVILLE, VA 23116-5113
(804) 356-8526
Mailing address
10089 POPLAR HALL CT, MECHANICSVILLE, VA 23116-5113
(804) 356-8526
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/21/2025
Last updated
01/21/2025
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