Individual
DR. SUSANNE BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ND, PT
Contact information
Practice address
4923 US ROUTE 5, WESTMINSTER, VT 05158-9651
(802) 722-4023
Mailing address
PO BOX 452, SAXTONS RIVER, VT 05154-0452
(206) 919-9458
(802) 722-4137
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
0990080815
VT
225100000X
Physical Therapist
040.0065254
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020007
—
VT
Enumeration date
06/02/2010
Last updated
03/16/2015
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