Kristen S Adams, MM, MT-BC
Individual provider Active NPI Music Therapist · Braselton, GA
NPI 1881745792 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1881745792
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Music Therapist 225A00000X
- License
- 06975
- Practice address
- 6862 Grand Hickory Dr
Braselton, GA 30517-6246 - Phone
- (770) 295-9642
- NPI assigned
- Jan 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Music Therapist | 225A00000X | 06975 | Yes |
Addresses
Primary practice location
6862 Grand Hickory Dr
Braselton, GA 30517-6246
Mailing address
6862 Grand Hickory Dr
Braselton, GA 30517-6246
Phone (770) 295-9642
Other providers in Braselton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.