Nicole Summers Booher
Occupational Therapist - Gerontology
302 Medical Parkway
Lakeway
, Texas 78738-2216
Nicole Summers Booher
Occupational Therapist - Gerontology
302 Medical Parkway
Lakeway
, Texas 78738-2216
(505) 385-5481
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About
Features
Specialties
- Occupational Therapist - Gerontology
Languages spoken
- English
Location
First Address
- Nicole Summers Booher
- 5404 Pincushion Daisy Dr
- Austin, TX
- Zip : 78739-2216
- Phone : (505) 385-5481
Second Address
- Nicole Summers Booher
- 302 Medical Parkway
- Lakeway, TX
- Zip : 78738-2216
- Phone : (512) 501-3488
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XG0600X | Occupational Therapist - Gerontology |
National Provider Identifier
| NPI | 1134518848 |
|---|---|
| Provider Name | Nicole Summers Booher |
| First Address | Austin, TX 78739-2216 |
| Second Address | Lakeway, TX 78738-2216 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/01/2015 |
| Last Update Date | 16/10/2020 |
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.