Provider Demographics
NPI:1669769840
Name:TURNER, KATHERINE M (MT-BC/L)
Entity type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:M
Last Name:TURNER
Suffix:
Gender:F
Credentials:MT-BC/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3724 GRETCHEN CT
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89081-6640
Mailing Address - Country:US
Mailing Address - Phone:615-485-3314
Mailing Address - Fax:
Practice Address - Street 1:3724 GRETCHEN CT
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89081-6640
Practice Address - Country:US
Practice Address - Phone:615-485-3314
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-07
Last Update Date:2012-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV11-002225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist