Provider Demographics
NPI:1023502580
Name:GEMPELER, CATHLEEN J (MT-BC)
Entity type:Individual
Prefix:MS
First Name:CATHLEEN
Middle Name:J
Last Name:GEMPELER
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 1:7624 157TH ST W APT 105
Mailing Address - Street 2:
Mailing Address - City:APPLE VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55124-9166
Mailing Address - Country:US
Mailing Address - Phone:952-567-9117
Mailing Address - Fax:
Practice Address - Street 1:4011 WEST HIGHWAY 13
Practice Address - Street 2:THIS ADDRESS IS MY MUSIC THERAPY CENTER
Practice Address - City:SAVAGE
Practice Address - State:MN
Practice Address - Zip Code:55378
Practice Address - Country:US
Practice Address - Phone:952-567-9117
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-19
Last Update Date:2018-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist