Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANDREW S BORAH, ATC
Active Sole ProprietorANDREW S BORAH, ATC is a Athletic Trainer healthcare provider located in SOUTH LAKE TAHOE, California. NPI 1407248081 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · SOUTH LAKE TAHOE, CA
Registration Details
- NPI Number
- 1407248081
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 19, 2015 (11.462794349768 yrs)
- Last Updated
- Feb 19, 2015
- Sole Proprietor
- Yes
Practice Information
- Address
-
1764 MEADOW VALE DRSOUTH LAKE TAHOE, CA, 961504929Browse CA providers · Browse ZIP 96150
- Phone
- 8023182717
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in SOUTH LAKE TAHOE, CA
| Name | Credential | NPI |
|---|---|---|
| JAMES JONATHAN PRATT | MS, ATC, OTC | 1891943528 |
| BLAKE FUNG RODMAN | — | 1588370555 |
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.