Provider Demographics
NPI:1578156014
Name:PUETZ, ALISON CLAIRE (MT-BC)
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:CLAIRE
Last Name:PUETZ
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 1:1931 SABAL PALM DR APT 205
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33324-5963
Mailing Address - Country:US
Mailing Address - Phone:314-378-5132
Mailing Address - Fax:
Practice Address - Street 1:3014 NW 30TH WAY
Practice Address - Street 2:
Practice Address - City:LAUDERDALE LAKES
Practice Address - State:FL
Practice Address - Zip Code:33311-8391
Practice Address - Country:US
Practice Address - Phone:561-703-1403
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-16
Last Update Date:2025-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor
No225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist