Individual
KEVIN BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3701 LOOP RD, TUSCALOOSA, AL 35404-5015
(205) 554-2000
Mailing address
3701 LOOP RD, TUSCALOOSA, AL 35404-5015
(205) 554-2000
Taxonomy
Speciality
Code
Description
License number
State
226300000X
Kinesiotherapist
Primary
1885
MS
Other
Enumeration date
09/23/2014
Last updated
09/23/2014
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