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Individual
DR. MICHAEL KENT BOOTH
Active
Individual
DR. MICHAEL KENT BOOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT, ATC, MS
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
40QA02349300
NJ
225100000X
Physical Therapist
Primary
PT031441
PA
2255A2300X
Athletic Trainer
25MT00302200
NJ
2255A2300X
Athletic Trainer
RT007664
PA
Other
Enumeration date
01/09/2019
Last updated
03/24/2026
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