Provider Demographics
NPI:1942417894
Name:BORHO, TERI J (RD)
Entity Type:Individual
Prefix:MRS
First Name:TERI
Middle Name:J
Last Name:BORHO
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:8038 BRIARWOOD DR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46227-6212
Mailing Address - Country:US
Mailing Address - Phone:317-851-3826
Mailing Address - Fax:317-865-5176
Practice Address - Street 1:1600 ALBANY ST
Practice Address - Street 2:
Practice Address - City:BEECH GROVE
Practice Address - State:IN
Practice Address - Zip Code:46107-1541
Practice Address - Country:US
Practice Address - Phone:317-851-3826
Practice Address - Fax:317-265-5176
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2007-10-29
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered