NPI 1295006872
Lisa Michelle Booth
Practice location
- Address
- 9409 E 65th St, Raytown, MO 64133-4920
- Phone
- (816) 812-4898
Registered specialties
Developmental Therapist
Primary
Registry record
- NPI
- 1295006872
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 13 Jan 2012
- Record last updated
- 13 Jan 2012
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.