Individual
MS. LAURIE ANN BUTTRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
100 SE NIGHTINGALE ST, KEYSTONE HEIGHTS, FL 32656-9522
(352) 473-1118
(352) 473-1119
Mailing address
100 SE NIGHTINGALE ST, KEYSTONE HEIGHTS, FL 32656-9522
(352) 473-1118
(352) 473-1119
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA0027682
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
239037
BLUE CROSS PROVIDER
FL
Enumeration date
04/26/2007
Last updated
07/08/2007
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