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1083720551
BRENT R BUTLER
PROVO, UT
NPI
1083720551
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: UT 221116572401)
Enumeration Date
2006-08-21
Last Update Date
2018-10-18
Business Address
BRENT R BUTLER PT
1055 N 500 W STE 122
PROVO, UT 84604-3305
Phone number: 801-429-0610
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Mailing Address
BRENT R BUTLER PT
1055 N 500 W ATTN: CREDENTIALING
PROVO, UT 84604-3305
Phone number: 801-354-8225
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