Provider Demographics
NPI:1861513400
Name:BOYNTON, LINDA R (PT)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:R
Last Name:BOYNTON
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1602 GLENDALE DR
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79603-4238
Mailing Address - Country:US
Mailing Address - Phone:325-672-5916
Mailing Address - Fax:
Practice Address - Street 1:7171 BUFFALO GAP RD
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79606-5450
Practice Address - Country:US
Practice Address - Phone:325-692-8080
Practice Address - Fax:325-692-6228
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1-4443-6225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist