MEDICARE: MUSIC THERAPY ASSOCIATES OF EAST TENNESSEE, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2251P0200X	Pediatric Physical Therapist	PT0000005528	TN
2	225A00000X	Music Therapist

General Provider Information

NPI Number	:	1023026648
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MUSIC THERAPY ASSOCIATES OF EAST TENNESSEE, INC.

Provider Business Mailing Address
First Line	:	101 E GROVE ST
Second Line	:
City	:	GREENEVILLE
State	:	TN
Zip	:	37745-5005
Country	:	US
Telephone Number	:	423-639-7959
Fax Number	:	423-783-9983

Provider Business Practice Location Address
First Line	:	101 E GROVE ST
Second Line	:
City	:	GREENEVILLE
State	:	TN
Zip	:	37745-5005
Country	:	US
Telephone Number	:	423-639-7959
Fax Number	:	423-783-9983

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. BETH JEANNETTE ROBERTSON
Credential	:	MM, MT-BC
Telephone Number	:	423-639-7959

Provider Enumeration Date	:	08/03/2006
Last Update Date	:	09/11/2025

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