Clay Butler
Individual provider Active NPI Athletic Trainer · Barbourville, KY
NPI 1720512403 · NPPES record last updated Apr 19, 2017
Key facts
- NPI
- 1720512403
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- AT637 (KY)
- Practice address
- 310 College St
Barbourville, KY 40906-1410 - Phone
- (606) 546-1303
- NPI assigned
- Apr 19, 2017
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT637 | KY | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT637 | KY | Yes |
Addresses
Primary practice location
310 College St
Barbourville, KY 40906-1410
Mailing address
213 High St
Barbourville, KY 40906-1435
Phone (606) 546-1303
Other providers in Barbourville, KY
- Brent Barrett Inc
- Lauren Brooks
- Michelle Louise Broughton
- Sarah Michelle Brown
- Teresa Tracyann Brown
- Carolyn Disney Byble
- Rebekah Susan Cain
- Lauren Caldwell
- Dalton Taylor Callebs
- Logan Brooke Carnes
All providers in Barbourville, KY · Athletic Trainer in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 19, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.