Individual
TRISHA PRATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
1801A MARSHALL ST, MANITOWOC, WI 54220-4927
(920) 629-1094
Mailing address
1801A MARSHALL ST, MANITOWOC, WI 54220-4927
(920) 629-1094
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
24-38
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT001
BILLING
—
Enumeration date
06/27/2020
Last updated
06/27/2020
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