Individual
JESSICA BUTCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
31810 430TH ST, AVOCA, IA 51521-5593
(712) 307-6036
Mailing address
31810 430TH ST, AVOCA, IA 51521-5593
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/16/2017
Last updated
03/16/2017
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