Provider Demographics
NPI:1902150592
Name:LOBERMEIER, CHRISTIANNA ELAINE (MT-BC, NMT)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTIANNA
Middle Name:ELAINE
Last Name:LOBERMEIER
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 1:2012 WASHATKO RD
Mailing Address - Street 2:
Mailing Address - City:RHINELANDER
Mailing Address - State:WI
Mailing Address - Zip Code:54501-9416
Mailing Address - Country:US
Mailing Address - Phone:715-360-4766
Mailing Address - Fax:
Practice Address - Street 1:2012 WASHATKO RD
Practice Address - Street 2:
Practice Address - City:RHINELANDER
Practice Address - State:WI
Practice Address - Zip Code:54501-9416
Practice Address - Country:US
Practice Address - Phone:715-360-4766
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-03
Last Update Date:2012-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
08955225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist