Individual
MICHAEL BORST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, ATC
Contact information
Practice address
509 MAIN ST, LA CROSSE, WI 54601
(608) 351-3049
Mailing address
509 MAIN ST, LA CROSSE, WI 54601-4004
(608) 351-3049
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
14175
WI
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/12/2015
Last updated
06/15/2018
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