Doctor Name: | DR. LESLIE SCOTT BUTLER |
NPI Number: | 1033101936 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.C. |
License Number: | 2000164684 |
Business Practice Address: | 7421 Mexico Rd Suite 101 St Peters, MO - 633761369 |
Business Phone Number: | 6369700566 |
Business Fax Number: | 6369702738 |
Mailing Address: | 7421 Mexico Rd, Suite 101 ST PETERS |
State: | MO |
Postal Code: | 633761369 |
Phone Number: | 6369700566 |
Fax Number: | 6369702738 |
NPI Enumeration Date: | 08/17/2005 |
NPI Last Update Date: | 08/13/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 03/23/2006 |
NPI Reactivation Date: | 03/28/2006 |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 2000164684 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |