Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BLAKE BUTLER
ActiveBLAKE BUTLER is a Athletic Trainer healthcare provider located in DYERSBURG, Tennessee. NPI 1639794985 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · DYERSBURG, TN
Registration Details
- NPI Number
- 1639794985
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 12, 2020 (6.2046398052082 yrs)
- Last Updated
- Jun 12, 2020
- License
-
1576 (TN)
Practice Information
- Address
-
1700 WOODLAWN AVEDYERSBURG, TN, 380242028Browse TN providers · Browse ZIP 38024
- Phone
- 7312861115
- Fax
- 7312860998
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in DYERSBURG, TN
| Name | Credential | NPI |
|---|---|---|
| MALLORY FRANK | — | 1922495118 |
| ADAM RAINES | — | 1144845488 |
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.