Provider Demographics
NPI:1063297828
Name:BUTCHER, EMILY (DC)
Entity type:Individual
Prefix:DR
First Name:EMILY
Middle Name:
Last Name:BUTCHER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:181 CAMPBELL LN
Mailing Address - Street 2:
Mailing Address - City:TAZEWELL
Mailing Address - State:VA
Mailing Address - Zip Code:24651-9784
Mailing Address - Country:US
Mailing Address - Phone:276-245-2497
Mailing Address - Fax:
Practice Address - Street 1:181 CAMPBELL LN
Practice Address - Street 2:
Practice Address - City:TAZEWELL
Practice Address - State:VA
Practice Address - Zip Code:24651-9784
Practice Address - Country:US
Practice Address - Phone:276-245-2497
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-30
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104557849111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor