Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bryan M Booth, ATC

Individual provider Athletic Trainer · NPI 1619487501

Bryan M Booth, ATC is an Athletic Trainer in Palm Desert, California. Licensed in California. Registered with an NPI since 2017.

Licensed in
CA
In the registry since
2017
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

74910 Aztec Rd
Palm Desert, CA 92260-3101
Phone: (916) 880-8858
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 2000026488 (CA)

Record details

NPI number1619487501
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedOctober 4, 2017
Last updated in NPPESOctober 4, 2017
Mailing address80123 Queensboro Dr, Indio, CA 92201-0523

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