| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MYRA E BUTLER | 1477142180 | 2021-01-16 |
Myra E Butler is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1477142180. Registration indicates Myra E Butler is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Massage Therapist (Massage Therapist, ) (Massage Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers)
| Entity Type | Individual |
| Provider Name | Myra E Butler LMT |
| Practice Office Address | 1824 MCGRAW AVE APT 3B BRONX, NY US |
| Practice Office Telephone | 9177142030 |
| Mailing Address | 1824 MCGRAW AVE APT 3B BRONX, NY 104721960 US |
| Business Telephone | 9177142030 |
| Code | Practice | License No State |
|---|---|---|
| 225700000X PRIMARY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Massage Therapist Massage Therapist Massage Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers | 032291
NY |