Healthcare Provider Details

I. General information

NPI: 1982887576
Provider Name (Legal Business Name): THOMAS M GERNI MT-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/06/2007
Last Update Date: 12/06/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7270 PEACHBOTTOM RD
INDEPENDENCE VA
24348-4798
US

IV. Provider business mailing address

7270 PEACHBOTTOM RD
INDEPENDENCE VA
24348-4798
US

V. Phone/Fax

Practice location:
  • Phone: 276-655-4223
  • Fax:
Mailing address:
  • Phone: 276-655-4223
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: