Provider Demographics
NPI:1346394749
Name:KROENING, RICHELLE ANN (MT-BC, NMT)
Entity Type:Individual
Prefix:MRS
First Name:RICHELLE
Middle Name:ANN
Last Name:KROENING
Suffix:
Gender:F
Credentials:MT-BC, NMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1835 DEERWOOD TRL
Mailing Address - Street 2:
Mailing Address - City:MOSINEE
Mailing Address - State:WI
Mailing Address - Zip Code:54455-8077
Mailing Address - Country:US
Mailing Address - Phone:715-212-5086
Mailing Address - Fax:
Practice Address - Street 1:1835 DEERWOOD TRL
Practice Address - Street 2:
Practice Address - City:MOSINEE
Practice Address - State:WI
Practice Address - Zip Code:54455-8077
Practice Address - Country:US
Practice Address - Phone:715-212-5086
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist