IndividualActive
Austin Butler, ATC
NPI 1255977062 · Athletic Trainer · Herrin, IL
Provider details
- NPI number
- 1255977062
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- No
- License
- 096004660 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
201 S 14th St
Herrin, IL 62948-3631
Phone: (618) 942-2171
Approximate (ZIP-level) locationGet directions
Mailing address
201 S 14th St
Herrin, IL 62948-3631
Registry dates
- Enumerated
- 2019-11-27
- Last updated
- 2019-11-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.