Provider Demographics
NPI:1871995530
Name:ROBINSON, AUSTIN SILVANUS (MT-BC)
Entity type:Individual
Prefix:MR
First Name:AUSTIN
Middle Name:SILVANUS
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 WORCESTER RD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40503-3520
Mailing Address - Country:US
Mailing Address - Phone:859-433-9334
Mailing Address - Fax:
Practice Address - Street 1:600 WORCESTER RD
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-3520
Practice Address - Country:US
Practice Address - Phone:859-433-9334
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-24
Last Update Date:2014-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist