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BRYAN M BOOTH ATC
NPI 1619487501
Specialist/Technologist - Athletic Trainer in Palm Desert, CA

Active since October 04, 2017
74910 AZTEC RD, PALM DESERT, CA 92260(916) 880-8858 Get Directions Write a Review

NPPES record last updated: October 4, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bryan M Booth Atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRYAN M BOOTH ATC (NPI 1619487501) is an individual athletic trainer provider in Palm Desert, California, licensed in California (2000026488) and active in the NPI registry since October 2017.

NPPES Registry Identity

NPI1619487501
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameBRYAN M BOOTHCredential: ATC
Location Address74910 AZTEC RDPalm Desert, CA 92260-3101
Mailing Address80123 Queensboro DrIndio, CA 92201-0523 · (916) 880-8858
Phone(916) 880-8858
Sole ProprietorNo
Enumeration DateOctober 4, 2017
✔ NPI 1619487501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
License✔ Licensed in CA · 2000026488
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
74910 AZTEC RD, Palm Desert, CA 92260
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bryan Booth's NPI number?

The NPI number for Bryan Booth is 1619487501. It was assigned to this individual provider in the NPPES registry on October 4, 2017.

Where is Bryan Booth located?

Bryan Booth practices at 74910 Aztec Rd, Palm Desert, CA 92260. The listed phone number is (916) 880-8858.

What is Bryan Booth's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Bryan Booth was last updated on October 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.