Healthcare Provider Details

I. General information

NPI: 1902753544
Provider Name (Legal Business Name): CHLOE ANNMARIE HOTH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/12/2026
Last Update Date: 03/12/2026
Certification Date: 03/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1304 MISSOURI AVE
CRYSTAL CITY MO
63019-1313
US

IV. Provider business mailing address

5 COUNTRY CROSSING ESTATES DR
SAINT PETERS MO
63376-3858
US

V. Phone/Fax

Practice location:
  • Phone: 636-232-6459
  • Fax:
Mailing address:
  • Phone: 636-232-6459
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: