Organization
INGRID YOGITA BUTLER
Active
Other names
5 Elements
Organization subpart
No
Provider details
NPI number
Authorized official
DR. INGRID YOGITA BUTLER LMT (OWNER/SOLE PROPRIETOR)
(505) 414-7620
Entity
Organization
Contact information
Practice address
11930 MENAUL BLVD NE, SUITE 106A, ALBUQUERQUE, NM 87112-2478
(505) 414-7620
Mailing address
PO BOX 20246, ALBUQUERQUE, NM 87154-0246
(505) 414-7620
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5899
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5899
LICENSED MASSAGE THERAPIST
NM
Enumeration date
04/12/2017
Last updated
04/12/2017
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