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NPI Code Detail

MEDICARE: AMY M BUTLER LMT

MEDICARE: AMY M BUTLER LMT
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
1225700000XMassage Therapist33-009434OH

General Provider Information

NPI Number : 1619295623
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY M BUTLER LMT
Provider Business Mailing Address
First Line : 24551 DETROIT RD STE 4
Second Line :
City : WESTLAKE
State : OH
Zip : 44145-2592
Country : US
Telephone Number : 440-772-5028
Fax Number :
Provider Business Practice Location Address
First Line : 24551 DETROIT RD STE 4
Second Line :
City : WESTLAKE
State : OH
Zip : 44145-2592
Country : US
Telephone Number : 440-772-5028
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2010
Last Update Date : 04/14/2025

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Directions to “ AMY M BUTLER LMT” Practice Location

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