Individual
JOHNE BOOTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
4501 W PLEASANT RIDGE RD, ARLINGTON, TX 76016-3410
(682) 867-8896
Mailing address
2626 HAMILTON DR, GRAND PRAIRIE, TX 75052-4012
(214) 669-2117
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT6286
TX
Other
Enumeration date
12/06/2024
Last updated
12/06/2024
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