Thomas John Butler, ATC
Specialist/Technologist, Athletic Trainer in Secaucus, NJ. Individual provider (NPI-1).
NPI number1043645427
StatusActive
Last updated in NPPESSep 4, 2013
Details
- NPI
- 1043645427
- Entity type
- Individual (NPI-1)
- Name
- Mr. Thomas John Butler
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 4, 2013
- Last updated
- Sep 4, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 25mt00138400 | NJ | Yes |
Practice location
11 Millridge RdSecaucus, NJ 07094-4303
Phone 201-873-2779
Mailing address
486 Blanchard Ter Apt 76Hackensack, NJ 07601-1453
Phone 201-873-2779
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