Victoria Lynn Booth
Individual provider Active NPI Physical Therapist · Coralville, IA
NPI 1235945676 · NPPES record last updated Dec 10, 2024
Key facts
- NPI
- 1235945676
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 125526 (IA)
- Practice address
- 2801 Heartland Dr
Coralville, IA 52241-2733 - Phone
- (319) 645-4194
- NPI assigned
- Dec 10, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125526 | IA | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 125526 | IA | Yes |
Addresses
Primary practice location
2801 Heartland Dr
Coralville, IA 52241-2733
Mailing address
1530 Rock Island Dr
Ely, IA 52227-9667
Other providers in Coralville, IA
- Erica Lynn Bobst
- Katelyn Bocken
- Troy Bockenstedt
- Makenzie Morgan Boersma
- Bonde Counseling Service Inc
- Margaret L Bouska
- Alicia Ann Bowden
- Stephanie Nicole Bowman
- David Paul Boysen
- Thomas Charles Boysen
All providers in Coralville, IA · Physical Therapist in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 10, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.