Organization
MOVED BY MUSIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA SUE JACKSON MM, MTBC (OWNER)
(719) 431-3549
Entity
Organization
Contact information
Practice address
41664 REDS RD, PAONIA, CO 81428-8310
(719) 431-3549
Mailing address
41664 REDS RD, PAONIA, CO 81428-8310
(970) 527-9138
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
—
—
Other
Enumeration date
06/17/2016
Last updated
04/06/2022
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