Tracy Wagner, SCMT, MT-BC

NPI #1295105179 in Nibley, Utah

Provider Information

NPI Number
1295105179
Entity Type
Individual
Name
Tracy Wagner, SCMT, MT-BC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Music Therapist
Credential
SCMT, MT-BC
Enumeration Date
Oct 5, 2015
Last Updated
Oct 5, 2015

Practice Location

Address
831 W 2550 S
City
Nibley
State
Utah
ZIP Code
84321-6381
Phone
(435) 890-0885

Specialties & Taxonomy Codes

Specialty
Music Therapist

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