Megan Butke

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Delavan, WI

NPI 1013458181 · NPPES record last updated Mar 9, 2017

Key facts

NPI
1013458181
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
1118 Cottonwood St
Delavan, WI 53115-1506
Phone
(262) 374-1981
NPI assigned
Mar 9, 2017
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

1118 Cottonwood St
Delavan, WI 53115-1506

Mailing address

1118 Cottonwood St
Delavan, WI 53115-1506

Other providers in Delavan, WI

All providers in Delavan, WI · Student in an Organized Health Care Education/Training Program in Wisconsin

Sources for this page

Verify at the official NPI Registry.