Kristen Lueck, MT-BC
Individual provider Active NPI Music Therapist · Afton, MN
NPI 1083036198 · NPPES record last updated Jan 8, 2014
Key facts
- NPI
- 1083036198
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Music Therapist 225A00000X
- Practice address
- 13158 15TH St S
Afton, MN 55001-9745 - Phone
- (651) 447-9433
- NPI assigned
- Jan 8, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Music Therapist | 225A00000X | Yes |
Addresses
Primary practice location
13158 15TH St S
Afton, MN 55001-9745
Mailing address
13158 15TH St S
Afton, MN 55001-9745
Phone (651) 447-9433
Other providers in Afton, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 8, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.