Search › Idaho › 106S00000X
Marisela Butler, BI
NPI 1720628712 · on the registry since 2020 · sole proprietor
Practice
- Address
- 2128 W 4700 S
Rexburg, ID 83440 - Phone
- (208) 604-7118
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-01-09
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 Idaho