MEDICARE: DR. LEAH M REEVES BUTLER PH.D., M.AC., L.AC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	U01954	MD

General Provider Information

NPI Number	:	1902170871
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LEAH M REEVES BUTLER PH.D., M.AC., L.AC.

Provider Business Mailing Address
First Line	:	4001 9TH ST N
Second Line	:	#1904
City	:	ARLINGTON
State	:	VA
Zip	:	22203-1956
Country	:	US
Telephone Number	:	703-945-5750
Fax Number	:	888-272-7352

Provider Business Practice Location Address
First Line	:	8830 CAMERON ST
Second Line	:	SUITE 501
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-4114
Country	:	US
Telephone Number	:	202-630-5324
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/24/2012
Last Update Date	:	02/24/2012

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