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NPI Code Detail

MEDICARE: EMILY C BAILEY MM, MT-BC, NMT

MEDICARE:   EMILY C BAILEY  MM, 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
1225A00000XMusic Therapist08515CO

General Provider Information

NPI Number : 1952682023
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY C BAILEY MM, MT-BC, NMT
Provider Business Mailing Address
First Line : 1934 S 600 E
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84105-3037
Country : US
Telephone Number : 970-988-1631
Fax Number :
Provider Business Practice Location Address
First Line : 1934 S 600 E
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84105-3037
Country : US
Telephone Number : 970-988-1631
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/02/2011
Last Update Date : 09/02/2011

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Directions to “ EMILY C BAILEY MM, MT-BC, NMT” Practice Location

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