Provider Demographics
NPI:1366898033
Name:BUTTON, MORGAN D (DC)
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:D
Last Name:BUTTON
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 1:5754 MARDEL AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63109-1550
Mailing Address - Country:US
Mailing Address - Phone:314-492-7177
Mailing Address - Fax:314-207-2767
Practice Address - Street 1:5754 MARDEL AVE
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63109-1550
Practice Address - Country:US
Practice Address - Phone:314-492-7177
Practice Address - Fax:314-207-2767
Is Sole Proprietor?:No
Enumeration Date:2016-05-11
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2015024975111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor