Individual
ERICA MICHELLE BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 BONNIE LN STE 106, CORDOVA, TN 38016-0510
(901) 319-0462
Mailing address
1600 BONNIE LN STE 106, CORDOVA, TN 38016-0510
(901) 319-0462
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5900
TN
Other
Enumeration date
07/02/2020
Last updated
07/02/2020
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