Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMY FORMELLA, MT-BC
Active Sole ProprietorAMY FORMELLA, MT-BC is a Music Therapist healthcare provider located in KING, Wisconsin. NPI 1295586402 is currently active in the NPPES registry. Verify at CMS.
Music Therapist · KING, WI
Registration Details
- NPI Number
- 1295586402
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 27, 2024 (2.3419735741904 yrs)
- Last Updated
- Mar 27, 2024
- License
-
11736 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
800 MITCHELL AVEKING, WI, 549460601Browse WI providers · Browse ZIP 54946
- Phone
- 7152585586
- Primary Specialty
-
Music Therapist
225A00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.