NPI 1639503022
McKenna Marie Ence, MTBC
Practice location
- Address
- 919 Milestone Dr, Smithfield, UT 84335-2552
- Phone
- (435) 563-8618
- Mailing address
- 1669 W Maple Rd, Birmingham, MI 48009-1230
Registered specialties
Music Therapist
Primary
Registry record
- NPI
- 1639503022
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 21 Aug 2013
- Record last updated
- 21 Aug 2013
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.