Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK EDWARD BUTLER
ActiveJACK EDWARD BUTLER is a Occupational Therapist healthcare provider located in COLORADO SPGS, Colorado. NPI 1114759743 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · COLORADO SPGS, CO
Registration Details
- NPI Number
- 1114759743
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 14, 2024 (2.0422785324352 yrs)
- Last Updated
- Aug 14, 2024
- License
-
PTA.0015515 (CO)
Practice Information
- Address
-
5643 N ACADEMY BLVDCOLORADO SPGS, CO, 809183658Browse CO providers · Browse ZIP 80918
- Phone
- 7203169974
- Primary Specialty
-
Occupational Therapist
225200000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.