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NPI Code Detail

MEDICARE: MICHAELLA BRAAMSE

MEDICARE: MICHAELLA BRAAMSE
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 : 1972276970
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAELLA BRAAMSE
Provider Business Mailing Address
First Line : 315 E 5TH ST STE 202
Second Line :
City : WATERLOO
State : IA
Zip : 50703-4757
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 315 E 5TH ST STE 202
Second Line :
City : WATERLOO
State : IA
Zip : 50703-4757
Country : US
Telephone Number : 563-249-5781
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2021
Last Update Date : 07/27/2021

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Directions to “ MICHAELLA BRAAMSE ” Practice Location

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