Individual provider · NPI-1
Jamie Dawn Klinginsmith
Dance Therapist · Glendale, AZ
NPI number1407337918
StatusActive
Last updated in NPPESAug 23, 2018
Details
- NPI
- 1407337918
- Entity type
- Individual (NPI-1)
- Name
- Jamie Dawn Klinginsmith
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 23, 2018
- Last updated
- Aug 23, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225600000X | Dance Therapist | 61-1885971 | AZ | Yes |
| 221700000X | Art Therapist | 61-1885971 | AZ | |
| 373H00000X | Day Training/Habilitation Specialist | 61-1885971 | AZ |
Practice location
5270 N 59th Ave Ste 9Glendale, AZ 85301-6763
Phone 623-235-1446
Mailing address
6914 W Colter StGlendale, AZ 85303-5819
Phone 623-235-1446
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