Provider Demographics
NPI:1700240546
Name:AJ MUSIC THERAPY
Entity type:Organization
Organization Name:AJ MUSIC THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MUSIC THERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALISON
Authorized Official - Middle Name:J
Authorized Official - Last Name:BOWERS
Authorized Official - Suffix:
Authorized Official - Credentials:MT-BC, MM
Authorized Official - Phone:480-296-9842
Mailing Address - Street 1:1013 W MARKET ST
Mailing Address - Street 2:
Mailing Address - City:CRAWFORDSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47933-1225
Mailing Address - Country:US
Mailing Address - Phone:480-296-9842
Mailing Address - Fax:
Practice Address - Street 1:1013 W MARKET ST
Practice Address - Street 2:
Practice Address - City:CRAWFORDSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47933-1225
Practice Address - Country:US
Practice Address - Phone:480-296-9842
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-07
Last Update Date:2016-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic TherapistGroup - Single Specialty