MEDICARE: KATHLEEN VOSS 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	:	1942361100
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHLEEN VOSS MT-BC

Provider Business Mailing Address
First Line	:	7741 12TH AVE SW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98106-2030
Country	:	US
Telephone Number	:	206-683-3523
Fax Number	:	206-767-7881

Provider Business Practice Location Address
First Line	:	7741 12TH AVE SW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98106-2030
Country	:	US
Telephone Number	:	206-683-3523
Fax Number	:	206-767-7881

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

Provider Enumeration Date	:	12/12/2006
Last Update Date	:	07/08/2007

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