Individual
AUSTIN HENRY BOOTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2333 BIDDLE AVE, WYANDOTTE, MI 48192-4668
(734) 246-6000
Mailing address
3625 BRIARMONT AVE APT 208, COLUMBIA, MO 65201-3680
(573) 915-2733
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
4351055159
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/04/2022
Last updated
06/20/2025
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