Provider Demographics
NPI:1891681177
Name:HUBBARD, KIRSTEN (OTD)
Entity type:Individual
Prefix:
First Name:KIRSTEN
Middle Name:
Last Name:HUBBARD
Suffix:
Gender:F
Credentials:OTD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13566 N SCOTTSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:WEST BLOCTON
Mailing Address - State:AL
Mailing Address - Zip Code:35184-3340
Mailing Address - Country:US
Mailing Address - Phone:205-340-1079
Mailing Address - Fax:
Practice Address - Street 1:2400 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:NORTHPORT
Practice Address - State:AL
Practice Address - Zip Code:35476-3473
Practice Address - Country:US
Practice Address - Phone:205-330-8412
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-14
Last Update Date:2025-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation