Junior Butler, WorldBoxing Champion
Specialist/Technologist, Athletic Trainer in Tempe, AZ. Individual provider (NPI-1).
NPI number1578445771
StatusActive
Last updated in NPPESJul 21, 2025
Details
- NPI
- 1578445771
- Entity type
- Individual (NPI-1)
- Name
- Junior Butler
- Credential
- WorldBoxing Champion
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 21, 2025
- Certification date
- Jul 21, 2025
- Last updated
- Jul 21, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
Practice location
1311 W Baseline Rd Apt 1097Tempe, AZ 85283-5392
Phone 480-430-1487
Mailing address
1311 W Baseline Rd Apt 1097Tempe, AZ 85283-5392
Phone 480-430-1487
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