Provider Demographics
NPI:1992120216
Name:POSE, KAYLEY
Entity type:Individual
Prefix:
First Name:KAYLEY
Middle Name:
Last Name:POSE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:KAYLEY
Other - Middle Name:
Other - Last Name:BOONE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:PO BOX 1876
Mailing Address - Street 2:
Mailing Address - City:RINCON
Mailing Address - State:PR
Mailing Address - Zip Code:00677-1876
Mailing Address - Country:US
Mailing Address - Phone:251-406-0090
Mailing Address - Fax:
Practice Address - Street 1:9920 TWIN BEECH RD
Practice Address - Street 2:
Practice Address - City:FAIRHOPE
Practice Address - State:AL
Practice Address - Zip Code:36532-4786
Practice Address - Country:US
Practice Address - Phone:251-406-0090
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-24
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS2579225X00000X
AL3544225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist