Individual
ALISE DOBROT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, LDN, LMT
Contact information
Practice address
778 LOIS DR, SUN PRAIRIE, WI 53590-1100
(608) 658-5027
Mailing address
3081 PARKER PASS, SUN PRAIRIE, WI 53590-8510
(608) 658-5027
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3029-29
WI
133V00000X
Registered Dietitian
L004989
NC
225700000X
Massage Therapist
4690-146
WI
225700000X
Massage Therapist
7501010282
MI
Other
Enumeration date
01/08/2020
Last updated
01/19/2020
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