Provider Demographics
NPI:1831790559
Name:BORGES THERAPY SERVICES LLC
Entity type:Organization
Organization Name:BORGES THERAPY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:N
Authorized Official - Last Name:BORGES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-298-0349
Mailing Address - Street 1:1183 HEBERT LN LOT 76
Mailing Address - Street 2:
Mailing Address - City:ST MARTINVLLE
Mailing Address - State:LA
Mailing Address - Zip Code:70582-6136
Mailing Address - Country:US
Mailing Address - Phone:337-298-0349
Mailing Address - Fax:
Practice Address - Street 1:1183 HEBERT LN LOT 76
Practice Address - Street 2:
Practice Address - City:ST MARTINVLLE
Practice Address - State:LA
Practice Address - Zip Code:70582-6136
Practice Address - Country:US
Practice Address - Phone:337-298-0349
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-09
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty