Doctor Name: | LESLIE BUTLER |
NPI Number: | 1851749550 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMT |
License Number: | M04918 |
Business Practice Address: | 2 W. Rolling Crossroads Suite 210 Catonsville, MD - 21228 |
Business Phone Number: | 4107447014 |
Business Fax Number: | |
Mailing Address: | 5905 Plata St, CLINTON |
State: | MD |
Postal Code: | 207352370 |
Phone Number: | 3017510856 |
Fax Number: | |
NPI Enumeration Date: | 06/03/2016 |
NPI Last Update Date: | 06/03/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | M04918 |
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. |