IndividualActive
Alyssa Clark, MT-BC
NPI 1104400175 · Music Therapist · Appleton, WI
Provider details
- NPI number
- 1104400175
- Entity type
- Individual
- Primary specialty
- Music TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MT-BC
- Sex
- Female
- Sole proprietor
- No
- License
- 12186
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
245 N Metro Dr
Appleton, WI 54913-8572
Phone: (920) 903-1009
Approximate (ZIP-level) locationGet directions
Mailing address
245 N Metro Dr
Appleton, WI 54913-8572
Registry dates
- Enumerated
- 2021-05-06
- Last updated
- 2021-05-06
- Certified
- 2021-05-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.