Organization
BOISE MUSIC THERAPY COMPANY
Active
Organization
BOISE MUSIC THERAPY COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA FOOTE MM, MT-BC (OWNER)
(208) 906-3875
Entity
Organization
Contact information
Practice address
1471 S VINNELL WAY, BOISE, ID 83709-1659
(208) 906-3875
Mailing address
2924 N CAPE COD AVE, MERIDIAN, ID 83646-4440
(208) 906-3875
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
07/09/2021
Last updated
07/09/2021
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