Provider Demographics
NPI:1720477805
Name:MARIANI, ANITA (CBMT)
Entity Type:Individual
Prefix:
First Name:ANITA
Middle Name:
Last Name:MARIANI
Suffix:
Gender:F
Credentials:CBMT
Other - Prefix:
Other - First Name:ANITA
Other - Middle Name:
Other - Last Name:ZEISS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CBMT
Mailing Address - Street 1:17462 W 158TH TER
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062-6761
Mailing Address - Country:US
Mailing Address - Phone:913-488-2467
Mailing Address - Fax:
Practice Address - Street 1:17462 W 158TH TER
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062-6761
Practice Address - Country:US
Practice Address - Phone:913-488-2467
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-13
Last Update Date:2015-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS10880225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist