Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRYAN M BOOTH, ATC
ActiveBRYAN M BOOTH, ATC is a Athletic Trainer healthcare provider located in PALM DESERT, California. NPI 1619487501 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · PALM DESERT, CA
Registration Details
- NPI Number
- 1619487501
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 4, 2017 (8.8409508161289 yrs)
- Last Updated
- Oct 4, 2017
- License
-
2000026488 (CA)
Practice Information
- Address
-
74910 AZTEC RDPALM DESERT, CA, 922603101Browse CA providers · Browse ZIP 92260
- Phone
- 9168808858
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in PALM DESERT, CA
| Name | Credential | NPI |
|---|---|---|
| MR. WILLIAM H CHAMBERS | ATC | 1467489260 |
| TODD JOSEPH CONGER | ATC | 1104151638 |
| MRS. VALERIE ROSE CALDERON | ATC | 1912517699 |
| RAUL PEREZ BERMUDEZ | — | 1528784618 |
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.