Provider Demographics
NPI:1154297562
Name:KATHERINE E. BORST, MT-BC
Entity type:Organization
Organization Name:KATHERINE E. BORST, MT-BC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MUSIC THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:E
Authorized Official - Last Name:BORST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:386-316-8088
Mailing Address - Street 1:48 AZALEA DR
Mailing Address - Street 2:
Mailing Address - City:ORMOND BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32176-3508
Mailing Address - Country:US
Mailing Address - Phone:386-316-8088
Mailing Address - Fax:
Practice Address - Street 1:48 AZALEA DR
Practice Address - Street 2:
Practice Address - City:ORMOND BEACH
Practice Address - State:FL
Practice Address - Zip Code:32176-3508
Practice Address - Country:US
Practice Address - Phone:386-316-8088
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-13
Last Update Date:2025-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic TherapistGroup - Single Specialty