Whalio Doctors

NPI 1013453208

Bryan Butler, ATC

Practitioner Athletic Trainer Lincoln, NE

Practice location

Address
2635 N 63rd St, Lincoln, NE 68507-2422
Phone
(402) 429-1799
Mailing address
1521 Kingston Rd, Lincoln, NE 68506-1524

Registered specialties (2)

Athletic Trainer Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 945 (NE)
Athletic Trainer
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT.0001925 (CO)

Registry record

NPI
1013453208
Entity type
Individual
Sex (as registered)
Male
NPI issued
11 Jan 2017
Record last updated
26 Apr 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.