Individual
WILL PATRICK BOOTHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1725 SCOTTSVILLE RD, BOWLING GREEN, KY 42104-3349
(270) 467-9969
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(972) 850-3940
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
15097
TN
225100000X
Physical Therapist
Primary
CP034982T
KY
Other
Enumeration date
09/12/2023
Last updated
11/05/2024
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