OrganizationActive
Fogerty Music Therapy, LLC
NPI 1700162971 · Music Therapist · Bloomington, IN
Provider details
- NPI number
- 1700162971
- Entity type
- Organization
- Primary specialty
- Music TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Jonnetta Fogerty, Owner, Director(812) 340-9269
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
515 S Woodscrest Dr Ste B
Bloomington, IN 47401-5303
Phone: (812) 340-9269
Approximate (ZIP-level) locationGet directions
Mailing address
4729 Shalimar Dr
Columbia, SC 29206-1048
Other names (DBA / former)
- Doing business as
- Fogerty Music Therapy
Registry dates
- Enumerated
- 2011-11-01
- Last updated
- 2016-03-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.