Jack Edward Butler
Jack Edward Butler is a Physical Therapy Assistant in Colorado Spgs, Colorado. Licensed in Colorado. Registered with an NPI since 2024.
- Licensed in
- CO
- In the registry since
- 2024
Practice location Address checks out
5643 N Academy BlvdColorado Spgs, CO 80918-3658
Phone: (720) 316-9974
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X · Licence PTA.0015515 (CO) |
|---|
Record details
| NPI number | 1114759743 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 14, 2024 |
| Last updated in NPPES | August 14, 2024 |
| Certification date | August 13, 2024 |
| Mailing address | 20150 Sheriffs Cv, Monument, CO 80132-8046 |