Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. TAMMY LYNNE BORUCH, PT
Active Sole ProprietorMS. TAMMY LYNNE BORUCH, PT is a Physical Therapy Assistant healthcare provider located in POLO, Missouri. NPI 1053624874 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · POLO, MO
Registration Details
- NPI Number
- 1053624874
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 21, 2010 (16.113798043864 yrs)
- Last Updated
- Apr 12, 2023
- License
-
01750 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3750 SW STATE ROUTE TPOLO, MO, 646718713Browse MO providers · Browse ZIP 64671
- Phone
- 8162840928
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.