Individual
HEATHER DAWN BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
109 MAPLE ST, BELLE CENTER, OH 43310-9307
(937) 935-0599
Mailing address
109 MAPLE ST, BELLE CENTER, OH 43310-9307
(937) 935-0599
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
225200000X
Physical Therapy Assistant
PTA 02282
OH
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
07/13/2007
Last updated
10/27/2020
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