Individual
MR. JOHN BUTERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RMT PTA
Contact information
Practice address
7092 HARR AVE BLDG 6492, FT CARSON, CO 80902-2190
(719) 339-3998
Mailing address
115 PENNSYLVANIA AVE, WOODLAND PARK, CO 80863-8833
(719) 339-3998
(719) 687-7964
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
CAPTA-4698
CA
225200000X
Physical Therapy Assistant
Primary
CO-0013082
CO
225700000X
Massage Therapist
CO-4698
CO
Other
Enumeration date
05/25/2007
Last updated
01/07/2025
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