| Doctor Name: | TRAVIS SCOTT BOOTH |
| NPI Number: | 1134160252 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MPT |
| License Number: | 3705 |
| Business Practice Address: | 8822 S Redwood Rd Suite E122 West Jordan, UT - 840889336 |
| Business Phone Number: | 8015667080 |
| Business Fax Number: | 8012561133 |
| Mailing Address: | Po Box 702128, SALT LAKE CITY |
| State: | UT |
| Postal Code: | 841702128 |
| Phone Number: | 8017087867 |
| Fax Number: | 8017460771 |
| NPI Enumeration Date: | 06/09/2006 |
| NPI Last Update Date: | 11/03/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 3705 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OK |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |