Individual
MICHELE LYNNE DORBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1850 E 53RD ST STE 2, DAVENPORT, IA 52807-2784
(309) 314-3587
Mailing address
1850 EAST 53RD STREET, SUITE 2, DAVENPORT, IA 52807
(309) 314-3587
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
004704
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
225700000X
MASSAGE THERAPY
IA
Enumeration date
08/08/2017
Last updated
07/21/2022
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