Provider Demographics
NPI:1043809627
Name:BUTLER, TYLER NICHOLAS (DC)
Entity Type:Individual
Prefix:DR
First Name:TYLER
Middle Name:NICHOLAS
Last Name:BUTLER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 LEM MORRISON DRIVE
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36849-5349
Mailing Address - Country:US
Mailing Address - Phone:334-844-7651
Mailing Address - Fax:334-844-6245
Practice Address - Street 1:400 LEM MORRISON DRIVE
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36849-5349
Practice Address - Country:US
Practice Address - Phone:334-844-7651
Practice Address - Fax:334-844-6245
Is Sole Proprietor?:No
Enumeration Date:2021-01-18
Last Update Date:2021-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2671111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor