Provider Demographics
NPI:1093923021
Name:DELLATAN SEATON, ALANA KEALOHA (MMT, MT-BC)
Entity Type:Individual
Prefix:MRS
First Name:ALANA
Middle Name:KEALOHA
Last Name:DELLATAN SEATON
Suffix:
Gender:F
Credentials:MMT, MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2902 TAZEWELL PIKE
Mailing Address - Street 2:SUITE I
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37918-1877
Mailing Address - Country:US
Mailing Address - Phone:865-951-6477
Mailing Address - Fax:
Practice Address - Street 1:2902 TAZEWELL PIKE
Practice Address - Street 2:SUITE I
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37918-1877
Practice Address - Country:US
Practice Address - Phone:865-951-6477
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2011-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
07056OtherCERTIFICATION BOARD FOR MUSIC THERAPISTS