Organization · NPI-2
Step It Up Dance Therapy LLC
Dance Therapist · Glendale, AZ
NPI number1649753534
StatusActive
Last updated in NPPESSep 7, 2018
Details
- NPI
- 1649753534
- Entity type
- Organization (NPI-2)
- Legal business name
- Step It Up Dance Therapy LLC
- Organization subpart
- No
- Enumeration date
- Sep 7, 2018
- Last updated
- Sep 7, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225600000X | Dance Therapist | 611885971 | AZ | Yes |
| 221700000X | Art Therapist | 611885971 | AZ | |
| 373H00000X | Day Training/Habilitation Specialist | 611885971 | 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
Authorized official
Jamie Klinginsmith
Owner
6232351446
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.