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NPI Code Detail

MEDICARE: BORDER THERAPY SERVICES LLC

MEDICARE: BORDER THERAPY SERVICES LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist635020000TX

General Provider Information

NPI Number : 1871650598
Entity Type Code : Organization
Provider Name (Legal Business Name) : BORDER THERAPY SERVICES LLC
Provider Business Mailing Address
First Line : 625 KENMOOR AVE SE STE 100
Second Line :
City : GRAND RAPIDS
State : MI
Zip : 49546-2395
Country : US
Telephone Number : 616-356-5000
Fax Number : 616-356-5001
Provider Business Practice Location Address
First Line : 2280 TRAWOOD
Second Line :
City : EL PASO
State : TX
Zip : 79935-3020
Country : US
Telephone Number : 915-595-3535
Fax Number : 915-595-3922
Authorized Official
Title or Position : AUTORIZED OFFICIAL/CEO
Name : RICHARD LEAVER
Credential :
Telephone Number : 616-356-5000
Provider Enumeration Date : 01/02/2007
Last Update Date : 07/31/2025

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Directions to “BORDER THERAPY SERVICES LLC ” Practice Location

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