Provider Demographics
NPI:1215580477
Name:SMILEY, ALISON RENEE (MM, MT-BC, NMT)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:RENEE
Last Name:SMILEY
Suffix:
Gender:F
Credentials:MM, MT-BC, NMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1704 MATHEWS ST APT 2
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-1361
Mailing Address - Country:US
Mailing Address - Phone:303-929-8415
Mailing Address - Fax:
Practice Address - Street 1:1704 MATHEWS ST APT 2
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-1361
Practice Address - Country:US
Practice Address - Phone:303-929-8415
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-17
Last Update Date:2019-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic TherapistGroup - Single Specialty