Doctor Name: | MR. MICHAEL ANTHONY BUTLER |
NPI Number: | 1114278751 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | R01445 |
Business Practice Address: | 6101 Gold Yarrow Ln Upper Marlboro, MD - 207724008 |
Business Phone Number: | 3016270840 |
Business Fax Number: | |
Mailing Address: | 6101 Gold Yarrow Ln, UPPER MARLBORO |
State: | MD |
Postal Code: | 207724008 |
Phone Number: | 3016270840 |
Fax Number: | |
NPI Enumeration Date: | 09/22/2012 |
NPI Last Update Date: | 09/22/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | R01445 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |