Charles Jeffrey Butler, LMT
Massage Therapist in Lexington, KY. Individual provider (NPI-1).
NPI number1114571908
StatusActive
Last updated in NPPESJul 30, 2019
Details
- NPI
- 1114571908
- Entity type
- Individual (NPI-1)
- Name
- Mr. Charles Jeffrey Butler
- Credential
- LMT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 30, 2019
- Last updated
- Jul 30, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 244403 | KY | Yes |
Other names
- Jeff Butler (Professional Name)
Practice location
233 Towne Square ParkLexington, KY 40511-2097
Phone 859-368-2184
Mailing address
233 Towne Square ParkLexington, KY 40511-2097
Phone 859-866-0874
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