=====================================================
General NPI Number Information
=====================================================
NPI Number | 1891516795
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BUTLER HOLDINGS COMPANY LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/23/2024
-----------------------------------------------------
Last Update Date | 04/24/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 501 WEBSTER RD
-----------------------------------------------------
City | AUBURN
-----------------------------------------------------
State | AL
-----------------------------------------------------
Zip | 36832-4204
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 256-338-7625
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 501 WEBSTER RD
-----------------------------------------------------
City | AUBURN
-----------------------------------------------------
State | AL
-----------------------------------------------------
Zip | 36832-4204
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 563-387-6252
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | TYLER BUTLER
-----------------------------------------------------
Credential | DO
-----------------------------------------------------
Telephone | 563-387-6252
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------