Provider Demographics
NPI:1801836960
Name:BUTLER, COLLEEN YVONNE (MS,ATC, LAT)
Entity Type:Individual
Prefix:MRS
First Name:COLLEEN
Middle Name:YVONNE
Last Name:BUTLER
Suffix:
Gender:F
Credentials:MS,ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:758 OLD NORCROSS RD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30045-3385
Mailing Address - Country:US
Mailing Address - Phone:678-985-7190
Mailing Address - Fax:678-985-7158
Practice Address - Street 1:758 OLD NORCROSS RD
Practice Address - Street 2:SUITE 110
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30045-3385
Practice Address - Country:US
Practice Address - Phone:678-985-7190
Practice Address - Fax:678-985-7158
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2008-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAT0008082255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer