Provider Demographics
NPI:1861863649
Name:BORST, KATHERINE E (MT-BC)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:E
Last Name:BORST
Suffix:
Gender:F
Credentials:MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18218 W 3RD AVE APT 4
Mailing Address - Street 2:
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80401-6933
Mailing Address - Country:US
Mailing Address - Phone:386-316-8088
Mailing Address - Fax:
Practice Address - Street 1:18218 W 3RD AVE APT 4
Practice Address - Street 2:
Practice Address - City:GOLDEN
Practice Address - State:CO
Practice Address - Zip Code:80401-6933
Practice Address - Country:US
Practice Address - Phone:386-316-8088
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-19
Last Update Date:2015-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
11378OtherTHE CERTIFICATION BOARD FOR MUSIC THERAPISTS