Provider Demographics
NPI:1083855589
Name:BUTTERS, NATASHA MARIE (DC)
Entity type:Individual
Prefix:
First Name:NATASHA
Middle Name:MARIE
Last Name:BUTTERS
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 1:17920 FENNEL RD SE
Mailing Address - Street 2:
Mailing Address - City:YELM
Mailing Address - State:WA
Mailing Address - Zip Code:98597-7920
Mailing Address - Country:US
Mailing Address - Phone:360-480-8371
Mailing Address - Fax:
Practice Address - Street 1:17920 FENNEL RD SE
Practice Address - Street 2:
Practice Address - City:YELM
Practice Address - State:WA
Practice Address - Zip Code:98597-7920
Practice Address - Country:US
Practice Address - Phone:360-300-2773
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-12
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH60073050111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor