Provider Demographics
NPI:1427698703
Name:MILLETT, CHRISTOPHER ROBERT (MM, MT-BC)
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:ROBERT
Last Name:MILLETT
Suffix:
Gender:M
Credentials:MM, MT-BC
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Mailing Address - Street 1:ATTN: CHRIS MILLETT - MUSIC THERAPY CLINIC, SCHOOL OF M
Mailing Address - Street 2:2301 SOUTH 3RD ST
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40292
Mailing Address - Country:US
Mailing Address - Phone:502-852-2122
Mailing Address - Fax:
Practice Address - Street 1:ATTN: CHRIS MILLETT - MUSIC THERAPY CLINIC, SCHOOL OF M
Practice Address - Street 2:2301 SOUTH 3RD ST
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40292
Practice Address - Country:US
Practice Address - Phone:502-852-2122
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-14
Last Update Date:2020-01-14
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist