Provider Demographics
NPI:1508923616
Name:BOONE, NOEL J (LMT)
Entity Type:Individual
Prefix:MR
First Name:NOEL
Middle Name:J
Last Name:BOONE
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 7TH ST W
Mailing Address - Street 2:
Mailing Address - City:ALEXANDER CITY
Mailing Address - State:AL
Mailing Address - Zip Code:35010-1706
Mailing Address - Country:US
Mailing Address - Phone:256-329-1500
Mailing Address - Fax:
Practice Address - Street 1:239 CHURCH ST
Practice Address - Street 2:SUITE B2
Practice Address - City:ALEXANDER CITY
Practice Address - State:AL
Practice Address - Zip Code:35010-2515
Practice Address - Country:US
Practice Address - Phone:256-749-0318
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL588225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist