IndividualActive
Blake Butler
NPI 1639794985 · Athletic Trainer · Dyersburg, TN
Provider details
- NPI number
- 1639794985
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 1576 (TN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1700 Woodlawn Ave
Dyersburg, TN 38024-2028
Phone: (731) 286-1115
Fax: (731) 286-0998
Street-level locationGet directions
Mailing address
1804 Highway 45 Byp Ste 604
Jackson, TN 38305-4403
Registry dates
- Enumerated
- 2020-06-12
- Last updated
- 2020-06-12
- Certified
- 2020-06-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.