Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY ALICE GENDREAU, LMT
Active Sole ProprietorMARY ALICE GENDREAU, LMT is a Massage Therapist healthcare provider located in LEBANON, Connecticut. NPI 1700765575 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · LEBANON, CT
Registration Details
- NPI Number
- 1700765575
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 27, 2025 (0.93840712824807 yrs)
- Last Updated
- Aug 27, 2025
- License
-
4602 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
159 LAKE SHORE DRLEBANON, CT, 062491914Browse CT providers · Browse ZIP 06249
- Phone
- 8609512260
- Primary Specialty
-
Massage Therapist
225700000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.