MEDICARE: T BUTTS

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	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1245943901
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	T BUTTS

Provider Business Mailing Address
First Line	:	3635 LIMESTONE AVE
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45417-4114
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3635 LIMESTONE AVE
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45417-4114
Country	:	US
Telephone Number	:	937-268-2822
Fax Number	:

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

Provider Enumeration Date	:	12/27/2022
Last Update Date	:	06/20/2023

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Directions to “ T BUTTS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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