IndividualActive
Kolby Koczanowski, LPMT, MT-BC
NPI 1689199416 · Music Therapist · Roswell, GA
Provider details
- NPI number
- 1689199416
- Entity type
- Individual
- Primary specialty
- Music TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LPMT, MT-BC
- Sex
- Male
- Sole proprietor
- No
- License
- MUT000174 (GA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
12060 Etris Rd # 200
Roswell, GA 30075-1463
Phone: (678) 701-1203
Approximate (ZIP-level) locationGet directions
Mailing address
230 Haley Pass
Alpharetta, GA 30004-7537
Registry dates
- Enumerated
- 2017-08-14
- Last updated
- 2017-08-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.