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NPI Code Detail

MEDICARE: JESSICA BUTTRY DC

MEDICARE: JESSICA BUTTRY DC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractorCHR.0007296CO

General Provider Information

NPI Number : 1689052003
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA BUTTRY DC
Provider Business Mailing Address
First Line : 838 W DRAKE RD STE 105
Second Line :
City : FORT COLLINS
State : CO
Zip : 80526-5539
Country : US
Telephone Number : 970-294-4197
Fax Number : 970-294-4186
Provider Business Practice Location Address
First Line : 838 W DRAKE RD STE 105
Second Line :
City : FORT COLLINS
State : CO
Zip : 80526-5539
Country : US
Telephone Number : 970-294-4197
Fax Number : 970-294-4186
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2015
Last Update Date : 05/18/2015

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Directions to “ JESSICA BUTTRY DC” Practice Location

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