Provider Demographics
NPI:1275086308
Name:PEAK PATHWAYS MUSIC THERAPY, LLC
Entity Type:Organization
Organization Name:PEAK PATHWAYS MUSIC THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ NEUROLOGIC MUSIC THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:LEAH
Authorized Official - Middle Name:
Authorized Official - Last Name:QUILLER
Authorized Official - Suffix:
Authorized Official - Credentials:MT-BC, NMT
Authorized Official - Phone:303-718-3573
Mailing Address - Street 1:138 LINCOLN ST
Mailing Address - Street 2:
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80501-5832
Mailing Address - Country:US
Mailing Address - Phone:303-718-3573
Mailing Address - Fax:
Practice Address - Street 1:138 LINCOLN ST
Practice Address - Street 2:
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80501-5832
Practice Address - Country:US
Practice Address - Phone:303-718-3573
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic TherapistGroup - Single Specialty