Provider Demographics
NPI:1720876808
Name:PARODOCS WELLNESS, LLC
Entity type:Organization
Organization Name:PARODOCS WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CLINT
Authorized Official - Middle Name:
Authorized Official - Last Name:BORMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:602-888-7992
Mailing Address - Street 1:6887 W MARIPOSA GRANDE LN
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85383-3243
Mailing Address - Country:US
Mailing Address - Phone:480-734-3585
Mailing Address - Fax:
Practice Address - Street 1:20265 N 59TH AVE STE B1
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-6819
Practice Address - Country:US
Practice Address - Phone:602-888-7992
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-28
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty