Provider Demographics
NPI:1619278959
Name:METRO MUSIC THERAPY, INC.
Entity Type:Organization
Organization Name:METRO MUSIC THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:SANDERS
Authorized Official - Suffix:
Authorized Official - Credentials:MM, MT-BC, NMT
Authorized Official - Phone:303-263-5734
Mailing Address - Street 1:1113 VIGILANTE AVE
Mailing Address - Street 2:
Mailing Address - City:BAILEY
Mailing Address - State:CO
Mailing Address - Zip Code:80421-1050
Mailing Address - Country:US
Mailing Address - Phone:303-263-5734
Mailing Address - Fax:303-816-0392
Practice Address - Street 1:1113 VIGILANTE AVE
Practice Address - Street 2:
Practice Address - City:BAILEY
Practice Address - State:CO
Practice Address - Zip Code:80421-1050
Practice Address - Country:US
Practice Address - Phone:303-263-5734
Practice Address - Fax:303-816-0392
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-03
Last Update Date:2010-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic TherapistGroup - Single Specialty