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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MATTHEW RYAN BOOTH, PT

Active

MATTHEW RYAN BOOTH, PT is a Physical Therapy Assistant healthcare provider located in BOISE, Idaho. NPI 1265416291 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · BOISE, ID

Registration Details

NPI Number
1265416291
Provider Type
Individual
Gender
Male
NPI Issued
Dec 2, 2005 (20.65487454555 yrs)
Last Updated
Oct 9, 2014
Licenses
3968 (OR)
RPT1329 (ID)

Practice Information

Address
415 E PARKCENTER BLVD
SUITE 114
BOISE, ID, 837066504
Browse ID providers · Browse ZIP 83706
Phone
2084339211
Fax
2084339241
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in BOISE, ID

Name Credential NPI
MRS. BRIDGET CATHERINE CHOW P.T. 1063418796
MRS. TWILA ROSE DOVER P.T. 1538165170
MS. LINDA HAMMANN MS, PT, SCS, ATC 1386640928
STEPHANIE K HERNLEY PT 1932109501
LINDSAY S. FREEBORN PT 1124005095
MRS. ANDREA L LADOUCEUR DPT 1275506768
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.