JACK EDWARD BUTLER

COLORADO SPGS, CO
NPI1114759743
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: CO  PTA.0015515)
Enumeration Date2024-08-14
Last Update Date2024-08-14
Business Address
JACK EDWARD BUTLER
5643 N ACADEMY BLVD
COLORADO SPGS, CO 80918-3658
Phone number: 720-316-9974
Mailing Address
JACK EDWARD BUTLER
20150 SHERIFFS CV
MONUMENT, CO 80132-8046
Phone number: 206-619-0844