Whalio Doctors

NPI 1295105179

Tracy Wagner, SCMTMTBC

Practitioner Music Therapist Nibley, UT

Practice location

Address
831 W 2550 S, Nibley, UT 84321-6381
Phone
(435) 890-0885

Registered specialties

Music Therapist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225A00000X Licence 9203190-4010 (UT)

Registry record

NPI
1295105179
Entity type
Individual
Sex (as registered)
Female
NPI issued
5 Oct 2015
Record last updated
5 Oct 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.