Provider Demographics
NPI:1336718345
Name:COURTS-KASPRZAK, TERRI LYNN
Entity type:Individual
Prefix:MS
First Name:TERRI
Middle Name:LYNN
Last Name:COURTS-KASPRZAK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:384 MEADOW DR APT 3
Mailing Address - Street 2:
Mailing Address - City:NORTH TONAWANDA
Mailing Address - State:NY
Mailing Address - Zip Code:14120-2821
Mailing Address - Country:US
Mailing Address - Phone:716-471-6161
Mailing Address - Fax:
Practice Address - Street 1:384 MEADOW DR APT 3
Practice Address - Street 2:
Practice Address - City:NORTH TONAWANDA
Practice Address - State:NY
Practice Address - Zip Code:14120-2821
Practice Address - Country:US
Practice Address - Phone:716-471-6161
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-23
Last Update Date:2021-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist