Provider Demographics
NPI:1942417894
Name:BORHO, TERI J (RD)
Entity type:Individual
Prefix:MRS
First Name:TERI
Middle Name:J
Last Name:BORHO
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:8038 BRIARWOOD DR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46227-6212
Mailing Address - Country:US
Mailing Address - Phone:317-851-3826
Mailing Address - Fax:317-865-5176
Practice Address - Street 1:535 BARNHILL DR RM 473
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-5116
Practice Address - Country:US
Practice Address - Phone:179-443-7413
Practice Address - Fax:317-944-3646
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
133V00000X
IN133VN1301X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1301XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Oncology
No133V00000XDietary & Nutritional Service ProvidersDietitian, Registered