Individual
MICHELLE NETTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
3025 W SALTER DR, PHOENIX, AZ 85027-2350
(602) 405-6443
Mailing address
3025 W SALTER DR, PHOENIX, AZ 85027-2350
(602) 405-6443
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06487
MUSIC THERAPY BOARD CERTIFICATION NUMBER
AZ
Enumeration date
06/13/2012
Last updated
06/13/2012
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