MEDICARE: DEANA BOOHER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	227800000X	Certified Respiratory Therapist	4395	TN

General Provider Information

NPI Number	:	1689525545
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEANA BOOHER

Provider Business Mailing Address
First Line	:	104 W COURT SQ
Second Line	:
City	:	LIVINGSTON
State	:	TN
Zip	:	38570-1800
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	104 W COURT SQ
Second Line	:
City	:	LIVINGSTON
State	:	TN
Zip	:	38570-1800
Country	:	US
Telephone Number	:	731-487-0134
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/06/2026
Last Update Date	:	02/06/2026

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Directions to “ DEANA BOOHER ” Practice Location

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