Individual
SHELBY LEIGH BUTCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6740 BLACK WING DR, FORT WORTH, TX 76137-2356
(469) 636-6314
Mailing address
6740 BLACK WING DR, FORT WORTH, TX 76137-2356
(469) 636-6314
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT132363
TX
Other
Enumeration date
08/12/2020
Last updated
08/12/2020
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