Adam Brooks Butler, LAT,ATC
Specialist/Technologist, Athletic Trainer in Hattiesburg, MS. Individual provider (NPI-1).
NPI number1669901328
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1669901328
- Entity type
- Individual (NPI-1)
- Name
- Mr. Adam Brooks Butler
- Credential
- LAT,ATC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 7, 2017
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 2000026547 | MS | Yes |
Practice location
415 S 28th AveHattiesburg, MS 39401-7246
Phone 601-408-1955
Mailing address
415 S 28th AveHattiesburg, MS 39401-7246
Phone 601-408-1955
Other practice locations
415 S 28th Ave
Hattiesburg, MS 39401-7246
Hattiesburg, MS 39401-7246
Phone 601-408-1955
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