SearchWisconsin2255A2300X

Derek Butler, LAT, ATC

NPI 1194887679 · on the registry since 2006

Practice

Address
1514 Elizabeth Ave
Marinette, WI 54143
Phone
(715) 735-9433

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin