MARY ALICE GENDREAU LMT NPI 1700765575

NPI Information

  • NPI: 1700765575
  • Provider Name: MARY ALICE GENDREAU, LMT
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 159 LAKE SHORE DR
    LEBANON, CT
    ZIP 06249
  • Phone: (860) 951-2260

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NPI Details

Mary Alice Gendreau, LMT is a massage therapist in Lebanon, CT. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. Mary Alice Gendreau, LMT NPI is 1700765575. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

159 LAKE SHORE DR
LEBANON, CT
ZIP 06249-914
Phone: (860) 951-2260

The enumeration date for this NPI number is 8/27/2025 and was last updated on 8/27/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225700000XMassage Therapist4602CONNECTICUTYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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