MEDICARE: MS. PAIGE ANNE RABON MT-BC, NMT

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	225A00000X	Music Therapist

General Provider Information

NPI Number	:	1053521070
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. PAIGE ANNE RABON MT-BC, NMT

Provider Business Mailing Address
First Line	:	516 LA MELODIA DR
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88011-7047
Country	:	US
Telephone Number	:	972-623-7515
Fax Number	:

Provider Business Practice Location Address
First Line	:	516 LA MELODIA DR
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88011-7047
Country	:	US
Telephone Number	:	972-623-7515
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/22/2007
Last Update Date	:	03/02/2009

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