MEDICARE: NORIKO NAKAMURA, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225A00000X	Music Therapist

General Provider Information

NPI Number	:	1588079198
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORIKO NAKAMURA, LLC

Provider Business Mailing Address
First Line	:	15208 W 123RD ST
Second Line	:
City	:	OLATHE
State	:	KS
Zip	:	66062-1081
Country	:	US
Telephone Number	:	913-744-1265
Fax Number	:

Provider Business Practice Location Address
First Line	:	15208 W 123RD ST
Second Line	:
City	:	OLATHE
State	:	KS
Zip	:	66062-1081
Country	:	US
Telephone Number	:	913-744-1265
Fax Number	:

Authorized Official
Title or Position	:	OWNER/MUSIC THERAPIST
Name	:	NORIKO NAKAMURA
Credential	:	MT-BC
Telephone Number	:	913-744-1265

Provider Enumeration Date	:	06/23/2014
Last Update Date	:	06/23/2014

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