Individual
KELSEY SHEPLEY
Active
Individual
KELSEY SHEPLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT-BC/L
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
2016-05
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12566
MUSIC THERAPIST- BOARD CERTIFIED
—
01
—
2016-05
LICENSE TO PRACTICE MUSIC THERAPY
ND
Enumeration date
09/25/2017
Last updated
09/25/2017
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