Individual
KATELYN BLANKENBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16610 ROSE BAY TRL, CYPRESS, TX 77429-4934
(832) 331-7409
Mailing address
16610 ROSE BAY TRL, CYPRESS, TX 77429-4934
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14151
CERTIFICATION BOARD FOR MUSIC THERAPISTS
—
Enumeration date
03/23/2020
Last updated
03/23/2020
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