| Ryan Dean Butts, DC | |
|
232 N Main St Ste D, Marysville, OH 43040-1100 | |
| (937) 670-2545 | |
| Not Available |
| Full Name | Ryan Dean Butts |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 232 N Main St Ste D, Marysville, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891230611 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 4678 (Ohio) | Primary |
| Provider Name | Wellspring Family Chiropractic Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1518426634 PECOS PAC ID: 2769723758 Enrollment ID: O20190329002141 |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Dean Butts, DC 232 N Main St Ste D, Marysville, OH 43040-1100 Ph: (937) 670-2545 | Ryan Dean Butts, DC 232 N Main St Ste D, Marysville, OH 43040-1100 Ph: (937) 670-2545 |
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