NPI 1093600942

Renee Lynn Goldman, LMT

Practitioner Massage Therapist Mequon, WI

Practice location

Address: 11516 N Port Washington Rd STE 208, Mequon, WI 53092-3441
Phone: (815) 222-6305
Mailing address: 2403 W Hickory Ln, Mequon, WI 53092-3127

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 17339146 (WI)

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Registry record

NPI: 1093600942
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Jun 2025
Record last updated: 11 Jun 2025

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.