Doctor Name: | MRS. MARJORIE GALVIN BOOTH |
NPI Number: | 1811143456 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 6016284-2401 |
Business Practice Address: | 6531 Landmark Dr Ste E Park City, UT - 840985951 |
Business Phone Number: | 4356497335 |
Business Fax Number: | 4356497568 |
Mailing Address: | 6531 Landmark Dr, Ste E PARK CITY |
State: | UT |
Postal Code: | 840985951 |
Phone Number: | 4356497335 |
Fax Number: | 4356497568 |
NPI Enumeration Date: | 08/14/2008 |
NPI Last Update Date: | 08/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 6016284-2401 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
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 |