Healthcare Provider Details

I. General information

NPI: 1205100500
Provider Name (Legal Business Name): SARAH KOLANDER MT-BC, WMTR, NMT-F
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/04/2012
Last Update Date: 03/09/2021
Certification Date: 03/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1537 HERITAGE BLVD
WEST SALEM WI
54669-9404
US

IV. Provider business mailing address

1537 HERITAGE BLVD
WEST SALEM WI
54669-9404
US

V. Phone/Fax

Practice location:
  • Phone: 608-304-7293
  • Fax:
Mailing address:
  • Phone: 608-304-7293
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number115 - 038
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: