Provider Demographics
NPI:1346394749
Name:KROENING, RICHELLE ANN (MT-BC, NMT)
Entity type:Individual
Prefix:MS
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 1:2815 POST RD
Mailing Address - Street 2:
Mailing Address - City:STEVENS POINT
Mailing Address - State:WI
Mailing Address - Zip Code:54481-6416
Mailing Address - Country:US
Mailing Address - Phone:715-204-4101
Mailing Address - Fax:715-204-4156
Practice Address - Street 1:2815 POST RD
Practice Address - Street 2:
Practice Address - City:STEVENS POINT
Practice Address - State:WI
Practice Address - Zip Code:54481-6416
Practice Address - Country:US
Practice Address - Phone:715-204-4101
Practice Address - Fax:715-204-4156
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI38103225A00000X
225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist