MEDICARE: MICHAEL J DOOLEY LMT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	MA60625116	WA

General Provider Information

NPI Number	:	1245684406
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL J DOOLEY LMT

Provider Business Mailing Address
First Line	:	630 VALLEY MALL PKWY # 607
Second Line	:
City	:	EAST WENATCHEE
State	:	WA
Zip	:	98802-4838
Country	:	US
Telephone Number	:	509-679-0841
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 VALLEY MALL PKWY STE 2
Second Line	:
City	:	EAST WENATCHEE
State	:	WA
Zip	:	98802-5348
Country	:	US
Telephone Number	:	509-679-0841
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/14/2016
Last Update Date	:	11/21/2025

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