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Whitney Nycole Butler, MS, OTR/L

Occupational Therapist in Johnson City, TN. Individual provider (NPI-1).

NPI number1922452127
StatusActive
Last updated in NPPESSep 5, 2023

Details

NPI
1922452127
Entity type
Individual (NPI-1)
Name
Mrs. Whitney Nycole Butler
Credential
MS, OTR/L
Sex
Female
Sole proprietor
No
Enumeration date
Apr 14, 2016
Certification date
Sep 5, 2023
Last updated
Sep 5, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist5341TNYes
225X00000X Occupational Therapist0119006845VA
225XP0200X Occupational Therapist, Pediatrics5341TN

Practice location

2214 E Fairview Ave
Johnson City, TN 37601-2860

Phone 423-928-6464 · Fax 423-232-7970

Mailing address

2214 E Fairview Ave
Johnson City, TN 37601-2860

Phone 423-928-6464 · Fax 423-232-7970

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