Individual
REBECCA BOOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
40 1ST ST SE, WAUKON, IA 52172-2022
(563) 568-3411
Mailing address
804 TABITHA LN, GREENWOOD, MO 64034-8659
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2018028386
MO
Other
Enumeration date
08/06/2018
Last updated
08/06/2018
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