Provider Demographics
NPI:1538457627
Name:BUEHLER, EXIE Y (CBD(CBI), BCTMB, LMT)
Entity Type:Individual
Prefix:
First Name:EXIE
Middle Name:Y
Last Name:BUEHLER
Suffix:
Gender:F
Credentials:CBD(CBI), BCTMB, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1256 WINDHAM ST
Mailing Address - Street 2:
Mailing Address - City:WESTLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48186-5351
Mailing Address - Country:US
Mailing Address - Phone:734-751-3475
Mailing Address - Fax:734-595-9974
Practice Address - Street 1:32780 GRAND RIVER AVE STE 211-A
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:MI
Practice Address - Zip Code:48336-3138
Practice Address - Country:US
Practice Address - Phone:734-751-3475
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-11
Last Update Date:2022-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI7501000053225700000X
374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist