Healthcare Provider Details

I. General information

NPI: 1598698128
Provider Name (Legal Business Name): AUSTIN COMMUNITY MUSIC CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 4TH ST NW STE B
AUSTIN MN
55912-3112
US

IV. Provider business mailing address

205 4TH ST NW STE B
AUSTIN MN
55912-3112
US

V. Phone/Fax

Practice location:
  • Phone: 507-396-6730
  • Fax:
Mailing address:
  • Phone: 507-396-6730
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number
License Number State

VIII. Authorized Official

Name: EMMA EVANS-PECK
Title or Position: MUSIC THERAPIST, BOARD-CERTIFIED
Credential: MT-BC, NMT
Phone: 309-507-3888