Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLE SUMMERS BOOHER
ActiveGerontology Occupational Therapist · LAKEWAY, TX
Registration Details
- NPI Number
- 1134518848
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 19, 2015 (11.252973354744 yrs)
- Last Updated
- Oct 16, 2020
Practice Information
- Address
-
302 MEDICAL PARKWAYLAKEWAY, TX, 787382216Browse TX providers · Browse ZIP 78738
- Phone
- 5125013488
- Primary Specialty
-
Gerontology Occupational Therapist
225XG0600X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.