NPI 1457987794

Mackenzie Mondek, SCMTMTBC

Practitioner Music Therapist Salt Lake City, UT

Practice location

Address: 2303 S 1800 E, Salt Lake City, UT 84106-4130
Phone: (630) 414-6660

Registered specialties

Music Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225A00000X Licence 15119 (UT)

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Registry record

NPI: 1457987794
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Mar 2020
Record last updated: 18 Mar 2020

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.