Individual
JOLI BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2901 174TH ST NE, MARYSVILLE, WA 98271-4743
(360) 454-1945
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(360) 454-1945
(360) 454-1991
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60697250
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0365699
L & I
WA
01
—
0365704
L & I
WA
01
—
0365706
L & I
WA
01
—
0365718
L & I
WA
01
—
0365719
L & I
WA
Enumeration date
11/23/2016
Last updated
03/17/2018
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