Healthcare Provider Details

I. General information

NPI: 1346096252
Provider Name (Legal Business Name): KAITLYN BORST OTRL, CHT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KAITLYN ROGERS OTRL

II. Dates (important events)

Enumeration Date: 04/30/2024
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3569 PELHAM PKWY STE 7
PELHAM AL
35124-2033
US

IV. Provider business mailing address

2823 GREYSTONE COMMERCIAL BLVD
HOOVER AL
35242-2660
US

V. Phone/Fax

Practice location:
  • Phone: 205-664-8404
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number6038
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: