Provider Demographics
NPI:1063974087
Name:MANISON, AISLING MOHINI (MT-BC, LPMT, NMT)
Entity type:Individual
Prefix:
First Name:AISLING
Middle Name:MOHINI
Last Name:MANISON
Suffix:
Gender:F
Credentials:MT-BC, LPMT, NMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1980 MOUNT VERNON RD
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30338-4673
Mailing Address - Country:US
Mailing Address - Phone:678-977-5513
Mailing Address - Fax:
Practice Address - Street 1:1980 MOUNT VERNON RD
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30338-4673
Practice Address - Country:US
Practice Address - Phone:678-977-5513
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-01
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist