Organization
BOOTS N BUCKLES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDY LOUIS GEROW (OWNER)
(800) 210-5819
Entity
Organization
Contact information
Practice address
1671 POOLVILLE CUT OFF RD, POOLVILLE, TX 76487-3639
(800) 210-5819
Mailing address
1671 POOLVILLE CUT OFF RD, POOLVILLE, TX 76487-3639
(800) 210-5819
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
314000000X
Skilled Nursing Facility
—
—
Other
Enumeration date
06/12/2014
Last updated
06/12/2014
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