Teryl Ryan Boothe, DC

NPI #1003943903 in Modesto, California

Provider Information

NPI Number: 1003943903
Entity Type: Individual
Name: Teryl Ryan Boothe, DC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: Feb 27, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 3217 TULLY RD
City: Modesto
State: California
ZIP Code: 95350-0832
Phone: (209) 576-0897

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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