Individual
TANYA MICHELLE BUTCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1931 BURLINGTON ST, NORTH KANSAS CITY, MO 64116-3407
(816) 241-2131
(816) 241-0551
Mailing address
12250 NW MEADOWLANDS DR, PLATTE CITY, MO 64079-7304
(816) 858-0249
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
118542
MO
Other
Enumeration date
07/01/2006
Last updated
07/08/2007
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