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Individual

DR. KIESHA MARIE BUTLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D

Contact information

Practice address
1653 MERRIMAN RD STE 106, AKRON, OH 44313-5275
(330) 957-4798
(234) 678-5547
Mailing address
657 ORLANDO AVE, AKRON, OH 44320-1808
(330) 957-4798
(234) 678-5547

Taxonomy

Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
OH
174400000X
Specialist
Primary
ESTI.200515
OH
174H00000X
Health Educator
247200000X
Other Technician
ESTI.200515
OH
261Q00000X
Clinic/Center
ESTS.200111
OH

Other

Enumeration date
10/18/2023
Last updated
10/18/2023
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