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Colleen Marie Dolan, LMT

Massage Therapist in Goodyear, AZ. Individual provider (NPI-1).

NPI number1902492457
StatusActive
Last updated in NPPESDec 18, 2020

Details

NPI
1902492457
Entity type
Individual (NPI-1)
Name
Colleen Marie Dolan
Credential
LMT
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 18, 2020
Certification date
Dec 18, 2020
Last updated
Dec 18, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage TherapistMT-16494AZYes

Practice location

18603 W Acacia Dr
Goodyear, AZ 85338-7891

Phone 201-697-7907

Mailing address

18603 W Acacia Dr
Goodyear, AZ 85338-7891

Phone 201-697-7907

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