Provider Demographics
NPI:1972935252
Name:PURE PROGRESSION MUSIC THERAPY
Entity type:Organization
Organization Name:PURE PROGRESSION MUSIC THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MUSIC THERAPY DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:WHYTE
Authorized Official - Suffix:
Authorized Official - Credentials:MT-BC
Authorized Official - Phone:801-618-3323
Mailing Address - Street 1:2212 E OAK LEAF WAY
Mailing Address - Street 2:
Mailing Address - City:SANDY
Mailing Address - State:UT
Mailing Address - Zip Code:84092-5688
Mailing Address - Country:US
Mailing Address - Phone:801-618-3323
Mailing Address - Fax:
Practice Address - Street 1:2212 E OAK LEAF WAY
Practice Address - Street 2:
Practice Address - City:SANDY
Practice Address - State:UT
Practice Address - Zip Code:84092-5688
Practice Address - Country:US
Practice Address - Phone:801-618-3323
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-08
Last Update Date:2013-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic TherapistGroup - Single Specialty