Individual
ELISHA RAE BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1118 W CROSS ST, ANDERSON, IN 46011-9530
(765) 274-4464
Mailing address
11544 E 200 N, MARION, IN 46952-9024
(765) 506-3697
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06005089A
IN
Other
Enumeration date
12/11/2019
Last updated
12/11/2019
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