Individual
MELINDA DORITY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, LMT
Contact information
Practice address
8201 S 51ST DR, LAVEEN, AZ 85339
(480) 274-1541
Mailing address
8201 S 51ST DR, LAVEEN, AZ 85339
(480) 274-1541
Taxonomy
Speciality
Code
Description
License number
State
163WM1400X
Nurse Massage Therapist (NMT)
Primary
111285
AZ
225700000X
Massage Therapist
MT-007728
AZ
Other
Enumeration date
06/26/2023
Last updated
11/30/2023
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