NPI 1295105179
Tracy Wagner, SCMTMTBC
Practice location
- Address
- 831 W 2550 S, Nibley, UT 84321-6381
- Phone
- (435) 890-0885
Registered specialties
Music Therapist
Primary
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.