Provider Demographics
NPI:1134978539
Name:GILTNER, ISABELLA RAE (MT-BC)
Entity type:Individual
Prefix:
First Name:ISABELLA
Middle Name:RAE
Last Name:GILTNER
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 1:651 PALM DR APT D4
Mailing Address - Street 2:
Mailing Address - City:SATELLITE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32937-2554
Mailing Address - Country:US
Mailing Address - Phone:636-856-7626
Mailing Address - Fax:
Practice Address - Street 1:651 PALM DR APT D4
Practice Address - Street 2:
Practice Address - City:SATELLITE BEACH
Practice Address - State:FL
Practice Address - Zip Code:32937-2554
Practice Address - Country:US
Practice Address - Phone:636-856-7626
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-16
Last Update Date:2024-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
18087225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist