Provider Demographics
NPI:1225812217
Name:ZIEGLER, CASSANDRA PAIGE (MT-BC)
Entity Type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:PAIGE
Last Name:ZIEGLER
Suffix:
Gender:F
Credentials:MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10700 ACADEMY RD NE APT 1115
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87111-7332
Mailing Address - Country:US
Mailing Address - Phone:505-908-8637
Mailing Address - Fax:
Practice Address - Street 1:10700 ACADEMY RD NE APT 1115
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87111-7332
Practice Address - Country:US
Practice Address - Phone:505-908-8637
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-22
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
17587225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist