Organization
DYNAMIC THERAPEUTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TONYA DAWN BUTLER EDD (CEO)
(251) 459-0500
Entity
Organization
Contact information
Practice address
9037 INDEPENDENCE AVE STE A2, DAPHNE, AL 36526-7694
(251) 459-0500
Mailing address
9037 INDEPENDENCE AVE STE A2, DAPHNE, AL 36526-7694
(251) 459-0500
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4208
LICENSED MASSAGE THERAPIST
AL
Enumeration date
02/01/2021
Last updated
02/01/2021
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