Blake Butler
Blake Butler is an Athletic Trainer in Dyersburg, Tennessee. Licensed in Tennessee. Registered with an NPI since 2020.
- Licensed in
- TN
- In the registry since
- 2020
Practice location Address checks out
1700 Woodlawn AveDyersburg, TN 38024-2028
Phone: (731) 286-1115
Fax: (731) 286-0998
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Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X · Licence 1576 (TN) |
|---|
Record details
| NPI number | 1639794985 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 12, 2020 |
| Last updated in NPPES | June 12, 2020 |
| Certification date | June 12, 2020 |
| Mailing address | 1804 Highway 45 Byp Ste 604, Jackson, TN 38305-4403 |
Other providers in Dyersburg
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Adam Raines
1700 Woodlawn Ave, Dyersburg, TN 38024-2028 · (731) 286-1115