KRISTI LYN BOOTH

BOISE, ID
NPI1629052659
Other NameKRISTI LYN SAUSE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: ID  OT495)
Additional Taxonomies235Z00000X Speech-Language Pathologist,
(Licence: WA  OT00002780)
235Z00000X Speech-Language Pathologist,
(Licence: OR  1013068)
Enumeration Date2005-12-02
Last Update Date2007-07-08
Business Address
-- KRISTI LYN BOOTH OT
415 E PARKCENTER BLVD SUITE 114
BOISE, ID 83706-6504
Phone number: 208-433-9211
Mailing Address
-- KRISTI LYN BOOTH OT
11481 SW HALL BLVD SUITE 201
PORTLAND, OR 97223-8403
Phone number: 800-219-8835