Individual
MELISSA ERIN BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2867 E COPPER POINT DR, MERIDIAN, ID 83642-1716
(208) 401-9100
Mailing address
2027 W TANERO CT, MERIDIAN, ID 83646-5089
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-2785
ID
Other
Enumeration date
02/28/2021
Last updated
02/28/2021
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