Individual
MISS EMMA GRACE BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
910 MADISON AVE, MEMPHIS, TN 38103-3403
(901) 448-5500
Mailing address
920 MADISON AVE STE 447, MEMPHIS, TN 38103-3438
(901) 448-4795
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
TN
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
TX
Other
Enumeration date
04/24/2025
Last updated
04/13/2026
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