Kristi Lyn Booth, OT

NPI #1629052659 in Boise, Idaho

Provider Information

NPI Number
1629052659
Entity Type
Individual
Name
Kristi Lyn Booth, OT
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Speech-Language Pathologist
Credential
OT
Enumeration Date
Dec 2, 2005
Last Updated
Jul 8, 2007

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
Speech-Language Pathologist

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