Provider Demographics
NPI:1023026648
Name:MUSIC THERAPY ASSOCIATES OF EAST TENNESSEE, INC.
Entity Type:Organization
Organization Name:MUSIC THERAPY ASSOCIATES OF EAST TENNESSEE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:BETH
Authorized Official - Middle Name:JEANNETTE
Authorized Official - Last Name:ROBERTSON
Authorized Official - Suffix:
Authorized Official - Credentials:MM, MT-BC
Authorized Official - Phone:423-639-7959
Mailing Address - Street 1:101 E GROVE ST
Mailing Address - Street 2:
Mailing Address - City:GREENEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37745-5005
Mailing Address - Country:US
Mailing Address - Phone:423-639-7959
Mailing Address - Fax:423-783-9983
Practice Address - Street 1:101 E GROVE ST
Practice Address - Street 2:
Practice Address - City:GREENEVILLE
Practice Address - State:TN
Practice Address - Zip Code:37745-5005
Practice Address - Country:US
Practice Address - Phone:423-639-7959
Practice Address - Fax:423-783-9983
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNPT00000055282251P0200X
225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatricsGroup - Multi-Specialty
Not Answered225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic TherapistGroup - Multi-Specialty