Healthcare Provider Details

I. General information

NPI: 1821305772
Provider Name (Legal Business Name): AMY L. RICE MT-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/13/2010
Last Update Date: 09/13/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5074 VETO RD
VINCENT OH
45784-5121
US

IV. Provider business mailing address

5074 VETO RD
VINCENT OH
45784-5121
US

V. Phone/Fax

Practice location:
  • Phone: 304-481-2543
  • Fax: 740-678-1416
Mailing address:
  • Phone: 304-481-2543
  • Fax: 740-678-1416

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: