Provider Demographics
NPI:1073949715
Name:BORGET, CHE R (ATC, LAT)
Entity type:Individual
Prefix:MRS
First Name:CHE
Middle Name:R
Last Name:BORGET
Suffix:
Gender:F
Credentials:ATC, LAT
Other - Prefix:MS
Other - First Name:CHE
Other - Middle Name:R
Other - Last Name:GOTHARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MED, ATC/LAT
Mailing Address - Street 1:3109 HATCHER DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31907-2007
Mailing Address - Country:US
Mailing Address - Phone:828-676-4092
Mailing Address - Fax:
Practice Address - Street 1:KINSMAN BARRACKS, BLDG 3305
Practice Address - Street 2:
Practice Address - City:APO
Practice Address - State:AA
Practice Address - Zip Code:31905
Practice Address - Country:US
Practice Address - Phone:828-676-4092
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-25
Last Update Date:2025-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAT0045792255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer