MEDICARE: ASHLEY ECKROTH MT-BC

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	:	1093421174
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY ECKROTH MT-BC

Provider Business Mailing Address
First Line	:	1012 DRIFTWOOD DR APT 4
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-3100
Country	:	US
Telephone Number	:	701-400-7916
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 S LINK LN
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80524-2753
Country	:	US
Telephone Number	:	970-541-4119
Fax Number	:

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

Provider Enumeration Date	:	01/23/2023
Last Update Date	:	01/23/2023

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Directions to “ ASHLEY ECKROTH MT-BC” Practice Location

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