Individual provider · Type 1 NPI

Teryl Ryan Boothe, DC

Chiropractor · Modesto, CA

NPI number 1003943903 Active

Practice location

3217 Tully Rd
Modesto, CA 95350-0832

Fax (209) 577-4998

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X19388 (CA)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1003943903

Teryl Ryan Boothe, DC's National Provider Identifier is 1003943903, issued on Feb 27, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Modesto, CA. The record was last updated on Jul 8, 2007.