Lakeisha Butler, LMT, PPD

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT006667 Issued in GA

Practice address

1565 Benton Blvd Apt 1401
Savannah, GA 31407-0414

Phone

(912) 373-5938

NPI assigned

Dec 7, 2022

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 7, 2022.

{
    "created_epoch": "1670371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1821709296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1565 BENTON BLVD APT 1401",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314070414",
            "telephone_number": "912-373-5938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1565 BENTON BLVD APT 1401",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314070414",
            "telephone_number": "912-373-5938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "LAKEISHA",
        "credential": "LMT, PPD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-07",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "TN",
            "license": null,
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "TN",
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "GA",
            "license": "MT006667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kandice N Butler-Crawford
• Andrew Butler
• April Leigh Butler, BCBA
• Brian Butler
• Grace Butler, MD
• Patricia B Butler, NP
• Patrice H Butterfield, PHD
• By Your Side Home Care Inc
• Liza Byars, CST
• Peggy L. Byck, MD

• All providers in Savannah, GA
• Massage Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.