Individual
MRS. LYNNAE RAE SIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
3720 N 124TH ST STE P, WAUWATOSA, WI 53222-2121
(262) 289-1022
Mailing address
1543 S 83RD ST, WEST ALLIS, WI 53214-4428
(262) 289-1022
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
11163
WI
Other
Enumeration date
04/02/2026
Last updated
04/02/2026
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