Kyle Butters, LAT, ATC
Specialist/Technologist, Athletic Trainer in West Bend, WI. Individual provider (NPI-1).
NPI number1174998793
StatusActive
Last updated in NPPESDec 8, 2015
Details
- NPI
- 1174998793
- Entity type
- Individual (NPI-1)
- Name
- Mr. Kyle Butters
- Credential
- LAT, ATC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 8, 2015
- Last updated
- Dec 8, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 152039 | WI | Yes |
Practice location
1100 Gateway CtWest Bend, WI 53095-8539
Phone 262-306-6100
Mailing address
1100 Gateway CtWest Bend, WI 53095-8539
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All 13 Athletic Trainer providers in West Bend · All 1,149 providers in West Bend
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