Individual
ATHENA RAI GOPPOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
5955 W MAIN ST, KALAMAZOO, MI 49009-9101
(269) 329-0730
Mailing address
5955 W MAIN ST, KALAMAZOO, MI 49009-9101
(269) 329-0730
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
17917
MI
Other
Enumeration date
08/29/2023
Last updated
08/29/2023
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