person
Marialyce Brennan Dorman, LMT
Massage Therapist in Appleton, Wisconsin
NPI 1013798834

Marialyce Brennan Dorman is a Massage Therapist based in Appleton, WI. Marialyce Brennan Dorman practices in Appleton, WI and has the professional credentials of LMT. The NPI Number for Marialyce Brennan Dorman is 1013798834 and holds a License No. 11511 (Wisconsin).

The current practice location address for Marialyce Brennan Dorman is 1500 N Casaloma Dr Ste 411, Appleton, WI and can be reached out via phone at 920-954-1446 and via fax at 920-882-1061. You can also correspond with Marialyce Brennan Dorman through the mailing address at 1500 N CASALOMA DR STE 411, APPLETON, WI - 54913-8219 (mailing address contact number: 920-954-1446).

Location: 1500 N Casaloma Dr Ste 411, Appleton, WI, 54913-8219
person
Provider Profile Details
NPI Number
1013798834
Provider Name
Marialyce Brennan Dorman
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
1500 N Casaloma Dr Ste 411, Appleton, WI, 54913-8219
Phone Number
920-954-1446
Fax Number
920-882-1061
Provider Enumeration Date
10/09/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1500 N Casaloma Dr Ste 411
City
State
Zip
54913-8219
Phone Number
920-954-1446
Fax Number
920-882-1061
person
Provider Business Mailing Address Details
Address
1500 N Casaloma Dr Ste 411
City
State
Zip
54913-8219
Phone Number
920-954-1446
Fax Number
920-882-1061
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
11511 (Wisconsin)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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