Provider Demographics
NPI:1043026016
Name:BUTLER, MELENA LEIGH (OTR/L)
Entity type:Individual
Prefix:
First Name:MELENA
Middle Name:LEIGH
Last Name:BUTLER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:MELENA
Other - Middle Name:LEIGH
Other - Last Name:SELZLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10909 MILL VALLEY RD STE 210
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68154-3950
Mailing Address - Country:US
Mailing Address - Phone:402-391-5002
Mailing Address - Fax:402-343-1278
Practice Address - Street 1:10909 MILL VALLEY RD STE 210
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68154-3950
Practice Address - Country:US
Practice Address - Phone:402-391-5002
Practice Address - Fax:402-343-1278
Is Sole Proprietor?:No
Enumeration Date:2024-12-05
Last Update Date:2024-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2982225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist