Individual
KATHLEEN NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT,BC,NMT
Contact information
Practice address
11410 SUNSET TRL, PLYMOUTH, MN 55441-6065
(763) 591-9716
Mailing address
11410 SUNSET TRL, PLYMOUTH, MN 55441-6065
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
225A0000X
MN
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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