Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amy Formella, MT-BC

Individual provider Music Therapist · NPI 1295586402

Amy Formella, MT-BC is a Music Therapist in King, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2024

Practice location Address checks out

800 Mitchell Ave
King, WI 54946-0601
Phone: (715) 258-5586
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Music Therapist (primary) Taxonomy 225A00000X · Licence 11736 (WI)

Record details

NPI number1295586402
Entity typeIndividual (Type 1)
GenderFemale
Credentials MT-BC
Sole proprietorYes
NPI enumeratedMarch 27, 2024
Last updated in NPPESMarch 27, 2024
Certification dateMarch 27, 2024
Mailing address800 Mitchell Ave, King, WI 54946-0601