Borton, Lisa

Borton, Lisa is an individual health care provider with primary practice located at 4606 W Jefferson Blvd , Fort Wayne IN 46804-6826. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Borton, Lisa can be contacted via phone (260) 459-1111.

Contact Information

Primary practice address
4606 W Jefferson Blvd Fort Wayne IN 46804-6826
Phone: (260) 459-1111
Fax: (260) 459-2209
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MT21304797 Indiana

Profile Details

NPI number 1982479788
LBN Legal business name Borton, Lisa
Credentials MASSAGE THERAPIST
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2023
Last updated Nov 21st, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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