Provider Demographics
NPI:1346661642
Name:MUSIC THERAPY SERVICES OF SOUTH DAKOTA, LLC
Entity Type:Organization
Organization Name:MUSIC THERAPY SERVICES OF SOUTH DAKOTA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/SENIOR MUSIC THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:LORA
Authorized Official - Middle Name:
Authorized Official - Last Name:BARTHELMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MS, MT-BC
Authorized Official - Phone:605-310-8268
Mailing Address - Street 1:3304 S FLORENCE AVE
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57103-7266
Mailing Address - Country:US
Mailing Address - Phone:605-310-8268
Mailing Address - Fax:
Practice Address - Street 1:3304 S FLORENCE AVE
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57103-7266
Practice Address - Country:US
Practice Address - Phone:605-310-8268
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-03
Last Update Date:2014-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic TherapistGroup - Single Specialty