Organization
MADISON AREA MUSIC THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE M RIECKHOFF MT-BC, WMTR (OWNER, MUSIC THERAPIST)
(715) 370-8262
Entity
Organization
Contact information
Practice address
1316 SWORDLEAF LN, SUN PRAIRIE, WI 53590-4317
(715) 370-8262
Mailing address
1316 SWORDLEAF LN, SUN PRAIRIE, WI 53590-4317
(715) 370-8262
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12505
CERTIFICATION BOARD FOR MUSIC THERAPISTS
—
01
—
149-38
STATE OF WI DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES
WI
Enumeration date
05/30/2019
Last updated
06/11/2019
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