Individual
KELLY L BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMBT
Contact information
Practice address
2585 W ROOSEVELT BLVD, MONROE, NC 28110-0418
(704) 606-6897
Mailing address
7315 CREEKWOOD QUORUM DR APT 205, CHARLOTTE, NC 28212-7549
(704) 606-6897
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
14087
NC
Other
Enumeration date
09/10/2021
Last updated
09/10/2021
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