Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Marialyce Brennan Dorman, LMT

Individual provider Massage Therapist · NPI 1013798834

Marialyce Brennan Dorman, LMT is a Massage Therapist in Appleton, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2023
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

1500 N Casaloma Dr Ste 411
Appleton, WI 54913-8219
Phone: (920) 954-1446
Fax: (920) 882-1061
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 11511 (WI)

Record details

NPI number1013798834
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMT
Sole proprietorYes
NPI enumeratedOctober 9, 2023
Last updated in NPPESOctober 9, 2023
Certification dateOctober 7, 2023

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