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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHANA REBILAS BOUSARD, MT-BC

Active Sole Proprietor

SHANA REBILAS BOUSARD, MT-BC is a Music Therapist healthcare provider located in ANTHEM, Arizona. NPI 1699255679 is currently active in the NPPES registry. Verify at CMS.

Music Therapist · ANTHEM, AZ

Registration Details

NPI Number
1699255679
Provider Type
Individual
Gender
Female
NPI Issued
Aug 18, 2018 (7.9481059513098 yrs)
Last Updated
Aug 18, 2018
Sole Proprietor
Yes

Practice Information

Address
40850 N TRAILHEAD WAY
ANTHEM, AZ, 850864941
Browse AZ providers · Browse ZIP 85086
Phone
6238103242
Primary Specialty
Music Therapist
225A00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.