Provider Demographics
NPI:1689297145
Name:FLATIRONS MUSIC THERAPY, LLC
Entity Type:Organization
Organization Name:FLATIRONS MUSIC THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MT-BC, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:RICKEL
Authorized Official - Suffix:
Authorized Official - Credentials:MT-BC, MM
Authorized Official - Phone:720-935-9104
Mailing Address - Street 1:415 SMITH ST
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80524-2939
Mailing Address - Country:US
Mailing Address - Phone:817-999-5672
Mailing Address - Fax:
Practice Address - Street 1:415 SMITH ST
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80524-2939
Practice Address - Country:US
Practice Address - Phone:817-999-5672
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-19
Last Update Date:2020-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic TherapistGroup - Single Specialty