Doctor Name: | DR. KELLI BUTLER |
NPI Number: | 1487998621 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.C. |
License Number: | 4090 |
Business Practice Address: | 3 Medical Dr # B Amarillo, TX - 791064167 |
Business Phone Number: | 8063512708 |
Business Fax Number: | |
Mailing Address: | 4714 S Lamar St, AMARILLO |
State: | TX |
Postal Code: | 791102437 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 11/10/2012 |
NPI Last Update Date: | 02/01/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 4090 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OK |
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. |