Individual
MRS. SHELLY RANEE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA,NMT FELLOW,MT-BC
Contact information
Practice address
4820 SAWYERS DR, DES MOINES, IA 50310-2948
(515) 494-4618
Mailing address
4820 SAWYERS DR, DES MOINES, IA 50310-2948
(515) 494-4618
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
06272
MN
Other
Enumeration date
05/23/2007
Last updated
02/23/2009
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