Individual
MRS. MELISSA BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
460 N MAIN ST, HEBER CITY, UT 84032-1440
(435) 654-4525
Mailing address
460 N MAIN ST, HEBER CITY, UT 84032-1440
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5971534-2401
UT
Other
Enumeration date
03/04/2010
Last updated
03/04/2010
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