Provider Demographics
NPI:1578928941
Name:METZGER, JANEL (MT -BC)
Entity Type:Individual
Prefix:
First Name:JANEL
Middle Name:
Last Name:METZGER
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 1:306 E EXCHANGE ST
Mailing Address - Street 2:PO BOX 142
Mailing Address - City:DANVERS
Mailing Address - State:IL
Mailing Address - Zip Code:61732-9349
Mailing Address - Country:US
Mailing Address - Phone:309-714-0140
Mailing Address - Fax:
Practice Address - Street 1:306 E EXCHANGE ST
Practice Address - Street 2:
Practice Address - City:DANVERS
Practice Address - State:IL
Practice Address - Zip Code:61732-9349
Practice Address - Country:US
Practice Address - Phone:309-714-0140
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-29
Last Update Date:2015-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist