Provider Demographics
NPI:1215731153
Name:KNOXVILLE MUSIC THERAPY LLC
Entity type:Organization
Organization Name:KNOXVILLE MUSIC THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALANA
Authorized Official - Middle Name:KEALOHA
Authorized Official - Last Name:DELLATAN SEATON
Authorized Official - Suffix:
Authorized Official - Credentials:MMT, MT-BC, NMT
Authorized Official - Phone:865-951-6477
Mailing Address - Street 1:2902 TAZEWELL PIKE STE I
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37918-1877
Mailing Address - Country:US
Mailing Address - Phone:865-951-6477
Mailing Address - Fax:
Practice Address - Street 1:2902 TAZEWELL PIKE STE I
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37918-1877
Practice Address - Country:US
Practice Address - Phone:865-951-6477
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-01
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
1093923021OtherMUSIC THERAPIST
1881391787OtherMUSIC THERAPIST