Healthcare Provider Details

I. General information

NPI: 1851649420
Provider Name (Legal Business Name): MUSIC MATTERS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2012
Last Update Date: 08/29/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4949 WOOLPER ROAD
PETERSBURG KY
41080
US

IV. Provider business mailing address

4949 WOOLPER ROAD
PETERSBURG KY
41080
US

V. Phone/Fax

Practice location:
  • Phone: 513-479-4562
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number08280
License Number State

VIII. Authorized Official

Name: KATHERINE E LEGGE
Title or Position: PRESIDENT
Credential:
Phone: 513-479-4562