| Doctor Name: | DR. SUSANNE BOOTH |
| NPI Number: | 1205156171 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ND, PT |
| License Number: | 040.0065254 |
| Business Practice Address: | 4923 Us Route 5 Westminster, VT - 051589651 |
| Business Phone Number: | 8027224023 |
| Business Fax Number: | |
| Mailing Address: | Po Box 452, SAXTONS RIVER |
| State: | VT |
| Postal Code: | 051540452 |
| Phone Number: | 2069199458 |
| Fax Number: | 8027224137 |
| NPI Enumeration Date: | 06/02/2010 |
| NPI Last Update Date: | 03/16/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 040.0065254 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VT |
| 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 |