NPI 1104400175

Alyssa Clark, MTBC

Practitioner Music Therapist Appleton, WI

Practice location

Address: 245 N Metro Dr, Appleton, WI 54913-8572
Phone: (920) 903-1009

Registered specialties

Music Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225A00000X Licence 12186

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Registry record

NPI: 1104400175
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 May 2021
Record last updated: 6 May 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.