Healthcare Provider Details

I. General information

NPI: 1437966884
Provider Name (Legal Business Name): LINDSEY RENEE BUETTNER LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/18/2024
Last Update Date: 12/18/2024
Certification Date: 12/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 N MAIN ST STE A
BLUFFTON OH
45817-1201
US

IV. Provider business mailing address

120 N MAIN ST STE A
BLUFFTON OH
45817-1201
US

V. Phone/Fax

Practice location:
  • Phone: 419-358-2222
  • Fax: 419-932-6950
Mailing address:
  • Phone: 419-358-2222
  • Fax: 419-932-6950

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172M00000X
TaxonomyMechanotherapist
License Number33.021838
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: