Individual
AMANDA BOOTHBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4050 COON RAPIDS BLVD NW STE 149, COON RAPIDS, MN 55433-2522
(763) 236-8910
Mailing address
4050 COON RAPIDS BLVD NW STE 149, COON RAPIDS, MN 55433-2522
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/12/2020
Last updated
09/10/2025
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