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NPI Code Detail

MEDICARE: ASPIRE MUSIC THERAPY, LLC

MEDICARE: ASPIRE MUSIC THERAPY, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225A00000XMusic Therapist

General Provider Information

NPI Number : 1598400970
Entity Type Code : Organization
Provider Name (Legal Business Name) : ASPIRE MUSIC THERAPY, LLC
Provider Business Mailing Address
First Line : 6620 ANGELLO CT
Second Line :
City : FORT WAYNE
State : IN
Zip : 46835-1773
Country : US
Telephone Number : 260-255-4502
Fax Number :
Provider Business Practice Location Address
First Line : 6620 ANGELLO CT
Second Line :
City : FORT WAYNE
State : IN
Zip : 46835-1773
Country : US
Telephone Number : 260-255-4502
Fax Number :
Authorized Official
Title or Position : OWNER
Name : NICOLE KELLER
Credential :
Telephone Number : 260-255-4502
Provider Enumeration Date : 05/01/2022
Last Update Date : 02/08/2024

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Directions to “ASPIRE MUSIC THERAPY, LLC ” Practice Location

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