NPI 1013798834

Marialyce Brennan Dorman, LMT

Practitioner Massage Therapist Appleton, WI

Practice location

Address: 1500 N Casaloma Dr STE 411, Appleton, WI 54913-8219
Phone: (920) 954-1446
Fax: (920) 882-1061

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 11511 (WI)

Other Massage Therapist providers in Wisconsin →

Registry record

NPI: 1013798834
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Oct 2023
Record last updated: 9 Oct 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.