Provider Demographics
NPI:1457682205
Name:BUTLER, AMBER DAWN (DC)
Entity Type:Individual
Prefix:MS
First Name:AMBER
Middle Name:DAWN
Last Name:BUTLER
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 1:6 CHESAPEAKE ST STE 205
Mailing Address - Street 2:
Mailing Address - City:LYNDORA
Mailing Address - State:PA
Mailing Address - Zip Code:16045-1150
Mailing Address - Country:US
Mailing Address - Phone:724-822-1828
Mailing Address - Fax:
Practice Address - Street 1:6 CHESAPEAKE ST STE 205
Practice Address - Street 2:
Practice Address - City:LYNDORA
Practice Address - State:PA
Practice Address - Zip Code:16045-1150
Practice Address - Country:US
Practice Address - Phone:724-822-1828
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-19
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC010222111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor