Deborah Butler, D.C.
Individual provider Active NPI Chiropractor · Saint Louis, MO
NPI 1013094424 · NPPES record last updated Jan 31, 2014
Key facts
- NPI
- 1013094424
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 004746 (MO)
- Practice address
- 11911 Westline Industrial Dr
Saint Louis, MO 63146-3200 - Phone
- (636) 394-1200
- Fax
- (314) 569-1623
- NPI assigned
- Nov 1, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004746 | MO | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri Doctors Rehabilitation Group PC | Chiropractor | Past | Accepting new patients |
| Baron Health Service, LLC | Chiropractor | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 004746 | MO | Yes |
Addresses
Primary practice location
11911 Westline Industrial Dr
Saint Louis, MO 63146-3200
Mailing address
11911 Westline Industrial Dr
Saint Louis, MO 63146-3200
Phone (636) 394-1200
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 31, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.