Whalio Doctors

NPI 1417170291

Marshetta Shavon Brazley, MTBC

Practitioner Music Therapist Jackson, TN

Practice location

Address
1119 Old Humboldt Rd, Jackson, TN 38305-1752
Phone
(731) 668-3888
Fax
(731) 668-1666
Mailing address
5300 Moss Hollow Cv, Memphis, TN 38134-6305

Registered specialties

Music Therapist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225A00000X Licence 07661

Registry record

NPI
1417170291
Entity type
Individual
Sex (as registered)
Female
NPI issued
10 Apr 2007
Record last updated
8 Jul 2007

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.