Individual
MICHELLE WANSTREET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT-BC, RBT, NMT
Contact information
Practice address
315 E 5TH ST STE 202, WATERLOO, IA 50703-4757
(563) 248-5781
Mailing address
4759 REINHARDT DR, ROELAND PARK, KS 66205-1504
(314) 606-5248
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-15-03563
—
225A00000X
Music Therapist
Primary
11807
—
225A00000X
Music Therapist
—
—
Other
Enumeration date
10/18/2019
Last updated
09/14/2021
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