Healthcare Provider Details

I. General information

NPI: 1366906505
Provider Name (Legal Business Name): MEDRHYTHMS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2019
Last Update Date: 02/08/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 1ST AVE
BOSTON MA
02129-3109
US

IV. Provider business mailing address

PO BOX 7944
PORTLAND ME
04112-7944
US

V. Phone/Fax

Practice location:
  • Phone: 309-642-9046
  • Fax:
Mailing address:
  • Phone: 781-629-9713
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: CHRISTINA STACK
Title or Position: BUSINESS DEVELOPMENT MANAGER, NMT/F
Credential: MS, MT-BC, NMT, CBIS
Phone: 518-573-1554