Individual
MR. MARK DANIEL HANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, LMT
Contact information
Practice address
804 N GRAND AVE, WAUKESHA, WI 53186-4823
(262) 408-3334
Mailing address
729 MAPLE WAY N, WAUKESHA, WI 53188-2613
(414) 218-5886
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18129-146
WI
Other
Enumeration date
02/03/2026
Last updated
02/03/2026
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