Provider Demographics
NPI:1437242948
Name:BOROVSKIKH, VLADIMIR N (MASSAGE THERAPIST)
Entity Type:Individual
Prefix:
First Name:VLADIMIR
Middle Name:N
Last Name:BOROVSKIKH
Suffix:
Gender:M
Credentials:MASSAGE THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7386 GOLDEN SPRINGS DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43235-2076
Mailing Address - Country:US
Mailing Address - Phone:614-202-2569
Mailing Address - Fax:614-791-1651
Practice Address - Street 1:3021 BETHEL RD STE 106
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43220-2286
Practice Address - Country:US
Practice Address - Phone:614-202-2569
Practice Address - Fax:614-791-1651
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH12780225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist