Individual
KATHRYN L BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
611 KORTE PARKWAY, LONGMONT, CO 80501
(303) 776-1373
(303) 776-7471
Mailing address
3939 DA VINCI DR, LONGMONT, CO 80503-6480
(720) 340-4263
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3345
CO
Other
Enumeration date
02/24/2011
Last updated
02/24/2011
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