Marialyce Brennan Dorman, LMT

NPI #1013798834 in Appleton, Wisconsin

Provider Information

NPI Number: 1013798834
Entity Type: Individual
Name: Marialyce Brennan Dorman, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Oct 9, 2023
Last Updated: Oct 9, 2023

Practice Location

Address: 1500 N CASALOMA DR STE 411
City: Appleton
State: Wisconsin
ZIP Code: 54913-8219
Phone: (920) 954-1446

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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