Individual
TYLER SCOTT BOOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
401 S MAIN ST, CAVE CITY, AR 72521-9507
(870) 847-3147
Mailing address
PO BOX 104, CAVE CITY, AR 72521-0104
(870) 847-3147
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225X00000X
Occupational Therapist
Primary
OTR4041
AR
Other
Enumeration date
05/16/2014
Last updated
01/09/2025
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