Individual provider · Type 1 NPI

Paula R. Doherty, LMT

Massage Therapist · Madison, WI

NPI number 1750977500 Active

Practice location

715 Hill St
Madison, WI 53705-3542

Mailing address

4636 Tonyawatha Trl
Monona, WI 53716-2062

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X14615-146 (WI)

Massage Therapist: 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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About NPI 1750977500

Paula R. Doherty, LMT's National Provider Identifier is 1750977500, issued on Dec 16, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Madison, WI. The record was last updated on Dec 16, 2020.