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Individual

JAMIE PRINCE BARTSCHI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MMT, MT-BC

Contact information

Practice address
4565 NOUNAN RD, MONTPELIER, ID 83254-5006
(801) 520-2626
Mailing address
4565 NOUNAN RD, MONTPELIER, ID 83254-5006
(801) 520-2626

Taxonomy

Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
07917
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
G0176
MEDICARE HCPCS CODE FOR PHP
ID
Enumeration date
11/30/2009
Last updated
11/30/2009
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