Blaine Eric Booher
Physical Therapist - Orthopedic
16020 Park Valley Dr
Round Rock
, Texas 78681-3573
Blaine Eric Booher
Physical Therapist - Orthopedic
16020 Park Valley Dr
Round Rock
, Texas 78681-3573
(512) 388-7854
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About
Features
Specialties
- Physical Therapist - Orthopedic
Languages spoken
- English
Location
First Address
- Blaine Eric Booher
- 16020 Park Valley Dr
- Round Rock, TX
- Zip : 78681-3573
- Fax : (512) 388-7854
- Phone : (512) 388-1448
Second Address
- Blaine Eric Booher
- 16020 Park Valley Dr
- Round Rock, TX
- Zip : 78681-3573
- Fax : (512) 388-7854
- Phone : (512) 388-1448
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251X0800X | Physical Therapist - Orthopedic | 1191290 | TX |
National Provider Identifier
| NPI | 1013221373 |
|---|---|
| Provider Name | Blaine Eric Booher |
| First Address | Round Rock, TX 78681-3573 |
| Second Address | Round Rock, TX 78681-3573 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/07/2010 |
| Last Update Date | 28/07/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.