Provider Demographics
NPI:1508339102
Name:ALBRIGHT, JUSTINA D (MT-BC)
Entity Type:Individual
Prefix:
First Name:JUSTINA
Middle Name:D
Last Name:ALBRIGHT
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 1:6657 NW TIMBERLINE DR
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50313-5436
Mailing Address - Country:US
Mailing Address - Phone:712-254-0960
Mailing Address - Fax:
Practice Address - Street 1:6657 NW TIMBERLINE DR
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50313-5436
Practice Address - Country:US
Practice Address - Phone:712-254-0960
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-07
Last Update Date:2019-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist