MEDICARE: ZOEY RAEANN MARLETTE

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

General Provider Information

NPI Number	:	1366390361
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZOEY RAEANN MARLETTE

Provider Business Mailing Address
First Line	:	15574 EDGEWOOD DR STE 102
Second Line	:
City	:	BRAINERD
State	:	MN
Zip	:	56401-6956
Country	:	US
Telephone Number	:	218-829-2665
Fax Number	:	218-829-4855

Provider Business Practice Location Address
First Line	:	15574 EDGEWOOD DR STE 102
Second Line	:
City	:	BRAINERD
State	:	MN
Zip	:	56401-6956
Country	:	US
Telephone Number	:	218-829-2665
Fax Number	:	218-829-4855

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

Provider Enumeration Date	:	03/17/2026
Last Update Date	:	03/17/2026

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Directions to “ ZOEY RAEANN MARLETTE ” Practice Location

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