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Individual

KIM BUTTERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHYSICAL THERAPIST

Contact information

Practice address
117 ELM CT SE, RIO RANCHO, NM 87124-8213
(505) 550-4578
(505) 891-4505
Mailing address
117 ELM CT SE, RIO RANCHO, NM 87124-8213
(505) 550-4578
(505) 891-4505

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1217
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
D3914
NM
Enumeration date
03/06/2007
Last updated
07/09/2007
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