Organization
STEP IT UP DANCE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE KLINGINSMITH (OWNER)
(623) 235-1446
Entity
Organization
Contact information
Practice address
5270 N 59TH AVE STE 9, GLENDALE, AZ 85301-6763
(623) 235-1446
Mailing address
6914 W COLTER ST, GLENDALE, AZ 85303-5819
(623) 235-1446
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
611885971
AZ
225600000X
Dance Therapist
Primary
611885971
AZ
373H00000X
Day Training/Habilitation Specialist
611885971
AZ
Other
Enumeration date
09/07/2018
Last updated
09/07/2018
About Stedi
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