Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jack Edward Butler

Individual provider Physical Therapy Assistant · NPI 1114759743

Jack Edward Butler is a Physical Therapy Assistant in Colorado Spgs, Colorado. Licensed in Colorado. Registered with an NPI since 2024.

Licensed in
CO
In the registry since
2024

Practice location Address checks out

5643 N Academy Blvd
Colorado Spgs, CO 80918-3658
Phone: (720) 316-9974
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA.0015515 (CO)

Record details

NPI number1114759743
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 14, 2024
Last updated in NPPESAugust 14, 2024
Certification dateAugust 13, 2024