Individual
SHANNON BUTERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6085 PILOT KNOB AVE NE, LOUISVILLE, OH 44641-9254
(330) 418-0684
Mailing address
6085 PILOT KNOB AVE NE, LOUISVILLE, OH 44641-9254
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
SU184222
OH
Other
Enumeration date
11/07/2025
Last updated
11/07/2025
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