Dr. Kiesha Marie Butler, Ph.D
Specialist in Akron, OH. Individual provider (NPI-1).
NPI number1922880426
StatusActive
Last updated in NPPESOct 18, 2023
Details
- NPI
- 1922880426
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kiesha Marie Butler
- Credential
- Ph.D
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 18, 2023
- Certification date
- Oct 18, 2023
- Last updated
- Oct 18, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | ESTI.200515 | OH | Yes |
| 171400000X | Health & Wellness Coach | – | OH | |
| 174H00000X | Health Educator | – | – | |
| 247200000X | Technician, Other | ESTI.200515 | OH | |
| 261Q00000X | Clinic/Center | ESTS.200111 | OH |
Practice location
1653 Merriman Rd Ste 106Akron, OH 44313-5275
Phone 330-957-4798 · Fax 234-678-5547
Mailing address
657 Orlando AveAkron, OH 44320-1808
Phone 330-957-4798 · Fax 234-678-5547
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