Individual provider · Type 1 NPI

Mary Alice Gendreau, LMT

Massage Therapist · Lebanon, CT

NPI number 1700765575 Active

Practice location

159 Lake Shore Dr
Lebanon, CT 06249-1914

Call (860) 951-2260 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X4602 (CT)

Massage Therapist: 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.

About NPI 1700765575

Mary Alice Gendreau, LMT's National Provider Identifier is 1700765575, issued on Aug 27, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lebanon, CT. The record was last updated on Aug 27, 2025.