MACKENZIE C BOOTHE

WEST DES MOINES, IA
NPI1780290486
Other NameMACK C BOOTHE
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  101593)
Enumeration Date2020-09-17
Last Update Date2020-09-17
Business Address
MACKENZIE C BOOTHE DPT
5045 BENTLEY DR STE 190
WEST DES MOINES, IA 50265-7010
Phone number: 515-226-1616
Mailing Address
MACKENZIE C BOOTHE DPT
600 OAKMONT LN STE 600C
WESTMONT, IL 60559-5548
Phone number: 630-575-1980