Kendall Butler
Specialist/Technologist, Athletic Trainer in Waco, TX. Individual provider (NPI-1).
NPI number1649891797
StatusActive
Last updated in NPPESApr 29, 2020
Details
- NPI
- 1649891797
- Entity type
- Individual (NPI-1)
- Name
- Mr. Kendall Butler
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 29, 2020
- Certification date
- Apr 29, 2020
- Last updated
- Apr 29, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
Practice location
2001 S 5th St Apt 604Waco, TX 76706-2562
Phone 480-375-0435
Mailing address
2001 S 5th St Apt 604Waco, TX 76706-2562
Phone 480-375-0435
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