IndividualActive
Amy Formella, MT-BC
NPI 1295586402 · Music Therapist · King, WI
Provider details
- NPI number
- 1295586402
- Entity type
- Individual
- Primary specialty
- Music TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MT-BC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 11736 (WI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
800 Mitchell Ave
King, WI 54946-0601
Phone: (715) 258-5586
Approximate (ZIP-level) locationGet directions
Mailing address
800 Mitchell Ave
King, WI 54946-0601
Registry dates
- Enumerated
- 2024-03-27
- Last updated
- 2024-03-27
- Certified
- 2024-03-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.