Provider Demographics
NPI:1841726858
Name:BOOTS, GUY (RVT)
Entity type:Individual
Prefix:
First Name:GUY
Middle Name:
Last Name:BOOTS
Suffix:
Gender:M
Credentials:RVT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5417 NE SUNSHINE DR
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64064-2453
Mailing Address - Country:US
Mailing Address - Phone:816-377-2683
Mailing Address - Fax:
Practice Address - Street 1:5417 NE SUNSHINE DR
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64064-2453
Practice Address - Country:US
Practice Address - Phone:816-377-2683
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-11
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471V0105XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistVascular Sonography