Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tracy Wagner, SCMT, MT-BC

Individual provider Music Therapist · NPI 1295105179

Tracy Wagner, SCMT, MT-BC is a Music Therapist in Nibley, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2015
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Practice location Address checks out

831 W 2550 S
Nibley, UT 84321-6381
Phone: (435) 890-0885
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Music Therapist (primary) Taxonomy 225A00000X · Licence 9203190-4010 (UT)

Record details

NPI number1295105179
Entity typeIndividual (Type 1)
GenderFemale
Credentials SCMT , MT-BC
Sole proprietorYes
NPI enumeratedOctober 5, 2015
Last updated in NPPESOctober 5, 2015

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