DENNIS L. BOOTH. D.C. PLLC NPI 1063677573

NPI Information

  • NPI: 1063677573
  • Provider Name: DENNIS L. BOOTH. D.C., PLLC
  • Classification: Clinic/Center - 261QH0100X
  • Specialization: Health Service
  • Entity Type: Organization
  • Doing Business As: FOURTH STREET CHIROPRACTIC
  • Address: 1606 4TH ST
    SUITE E
    MARYSVILLE, WA
    ZIP 98270
  • Phone: (360) 659-2938

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NPI Details

DENNIS L. BOOTH. D.C., PLLC is a health service clinic center in Marysville, WA. DENNIS L. BOOTH. D.C., PLLC NPI is 1063677573. The provider is registered as an organization entity type.
The provider Is Doing Business As Fourth Street Chiropractic.

The provider's business location address is:

1606 4TH ST
SUITE E
MARYSVILLE, WA
ZIP 98270-042
Phone: (360) 659-2938
Fax: (360) 658-0135

The provider's authorized official is Dennis Leo Booth .
The authorized official title is Operating Manager and has the following contact phone number (360) 659-2938.

The enumeration date for this NPI number is 7/24/2008 and was last updated on 7/24/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QH0100XClinic/CenterHealth ServiceCH00002945WASHINGTONYes

What is NPI?

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This page was last updated on: 11/21/2025

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