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NPI Code Detail

MEDICARE: ANNA MOFFATT DREXELIUS

MEDICARE:   ANNA MOFFATT DREXELIUS
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
1225A00000XMusic Therapist

General Provider Information

NPI Number : 1023951712
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA MOFFATT DREXELIUS
Provider Business Mailing Address
First Line : 404 BRASS LAMP DR
Second Line :
City : BALLWIN
State : MO
Zip : 63011-3404
Country : US
Telephone Number : 314-623-0796
Fax Number :
Provider Business Practice Location Address
First Line : 404 BRASS LAMP DR
Second Line :
City : BALLWIN
State : MO
Zip : 63011-3404
Country : US
Telephone Number : 314-623-7096
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2026
Last Update Date : 04/09/2026

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Directions to “ ANNA MOFFATT DREXELIUS ” Practice Location

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