MEDICARE: TARA LINNEMAN

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	:	1194667253
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TARA LINNEMAN

Provider Business Mailing Address
First Line	:	582 WYATT DR
Second Line	:
City	:	SAINT PETERS
State	:	MO
Zip	:	63376-7173
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	582 WYATT DR
Second Line	:
City	:	SAINT PETERS
State	:	MO
Zip	:	63376-7173
Country	:	US
Telephone Number	:	636-634-5359
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/08/2026
Last Update Date	:	04/08/2026

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Directions to “ TARA LINNEMAN ” Practice Location

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