Matthew Ryan Booth, PT

NPI #1265416291 in Boise, Idaho

Provider Information

NPI Number
1265416291
Entity Type
Individual
Name
Matthew Ryan Booth, PT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
PT
Enumeration Date
Dec 2, 2005
Last Updated
Oct 9, 2014

Practice Location

Address
415 E PARKCENTER BLVD
Address 2
SUITE 114
City
Boise
State
Idaho
ZIP Code
83706-6504
Phone
(208) 433-9211

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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