Jessica Boothe, MSOT, OTR/L, CLT

NPI 1194006601 · on the registry since 2011 · sole proprietor

Practice

Address: 804 Pine Alley St
Fort Walton Beach, FL 32547
Phone: (860) 803-6683
Fax: (888) 857-4412
Organisation at this address: Mobile Lymphedema Clinic Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 225X00000X
225X00000X
Also registered as: 225XE1200X
225XH1300X
225XG0600X
225XE0001X
225XP0019X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2026-02-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida