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Contact Information

LISA M BOOTH
9409 E 65TH ST
RAYTOWN, MO64133-4920
 Phone: 816-812-4898
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Developmental Therapist

222Q00000X
Indicates primary specialty

NPI Profile & details for LISA M BOOTH · (Female)

NPI Number 1295006872
Status Active
Credentials
Entity Individual
Enumeration date 01/13/2012
Last updated 01/13/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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