Individual
STACEY REBECCA BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
100 MARIO CAPECCHI DR, AUDIOLOGY, SALT LAKE CITY, UT 84112-8924
(801) 662-4942
(801) 662-4931
Mailing address
100 MARIO CAPECCHI DR, AUDIOLOGY, SALT LAKE CITY, UT 84112-8924
(801) 662-4942
(801) 662-4931
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
5324891-4101
UT
Other
Enumeration date
09/24/2008
Last updated
09/24/2008
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