Individual
KENDRA BORTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
63250 PINE RD, NORTH LIBERTY, IN 46554
(574) 933-4854
Mailing address
63250 PINE RD, NORTH LIBERTY, IN 46554
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/31/2021
Last updated
01/31/2021
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