Provider Demographics
NPI:1043876394
Name:BOOTH, RACHEL K (DO)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:K
Last Name:BOOTH
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Gender:F
Credentials:DO
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Mailing Address - Street 1:1 PRESTIGE PL STE 550
Mailing Address - Street 2:
Mailing Address - City:MIAMISBURG
Mailing Address - State:OH
Mailing Address - Zip Code:45342-6115
Mailing Address - Country:US
Mailing Address - Phone:937-762-1310
Mailing Address - Fax:937-522-8068
Practice Address - Street 1:6438 WILMINGTON PIKE STE 300
Practice Address - Street 2:
Practice Address - City:CENTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:45459-7021
Practice Address - Country:US
Practice Address - Phone:937-848-4850
Practice Address - Fax:937-848-4858
Is Sole Proprietor?:No
Enumeration Date:2019-05-13
Last Update Date:2024-01-25
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Provider Licenses
StateLicense IDTaxonomies
OH58.031130207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology