MARIALYCE BRENNAN DORMAN LMT
NPI 1013798834
Massage Therapist in Appleton, WI

Active since October 09, 2023
1500 N CASALOMA DR STE 411, APPLETON, WI 54913(920) 954-1446(920) 882-1061 Get Directions Write a Review

NPPES record last updated: October 9, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Marialyce Brennan Dorman Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIALYCE BRENNAN DORMAN LMT (NPI 1013798834) is an individual massage therapist in Appleton, Wisconsin, licensed in Wisconsin (11511) and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1013798834
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameMARIALYCE BRENNAN DORMANCredential: LMT
Location Address1500 N CASALOMA DR STE 411Appleton, WI 54913-8219
Mailing Address1500 N Casaloma Dr Ste 411Appleton, WI 54913-8219 · (920) 954-1446 · Fax (920) 882-1061
Fax(920) 882-1061
Sole ProprietorYes
Enumeration DateOctober 9, 2023
NPPES CertifiedOctober 7, 2023
NPI 1013798834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License Licensed in WI · 11511
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.
1500 N CASALOMA DR STE 411, Appleton, WI 54913

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marialyce Dorman's NPI number?

The NPI number for Marialyce Dorman is 1013798834. It was assigned to this individual provider in the NPPES registry on October 9, 2023.

Where is Marialyce Dorman located?

Marialyce Dorman practices at 1500 N Casaloma Dr Ste 411, Appleton, WI 54913. The listed phone number is (920) 954-1446.

What is Marialyce Dorman's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Marialyce Dorman was last updated on October 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.