Individual
JIM M BOOHER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHD, ATC, PT
Contact information
Practice address
1047 16TH AVE, BROOKINGS, SD 57007-0001
(605) 688-5824
Mailing address
7280 VALLEY VIEW RD, BROOKINGS, SD 57006-7220
(605) 693-4785
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000001
SD
Other
Enumeration date
04/01/2006
Last updated
07/08/2007
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