Provider Demographics
NPI:1497203871
Name:PEELER, ANDRA LEE (MT-BC)
Entity Type:Individual
Prefix:
First Name:ANDRA
Middle Name:LEE
Last Name:PEELER
Suffix:
Gender:F
Credentials:MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:807 N BUXTON ST
Mailing Address - Street 2:
Mailing Address - City:INDIANOLA
Mailing Address - State:IA
Mailing Address - Zip Code:50125-1315
Mailing Address - Country:US
Mailing Address - Phone:515-402-5158
Mailing Address - Fax:
Practice Address - Street 1:807 N BUXTON ST
Practice Address - Street 2:
Practice Address - City:INDIANOLA
Practice Address - State:IA
Practice Address - Zip Code:50125-1315
Practice Address - Country:US
Practice Address - Phone:515-402-5158
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-14
Last Update Date:2016-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist