Individual provider · Type 1 NPI
Brian Edward Du Fresne, LMT
Massage Therapist · Longmont, CO
NPI number
1710460167
Active
Practice location
1114 Martin Rd
Longmont, CO 80504-1243
Other practice locations
- 451 21st Ave, Longmont, CO 80501-1421 · (303) 678-0772
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT.0020730 (CO) |
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.
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About NPI 1710460167
Brian Edward Du Fresne, LMT's National Provider Identifier is 1710460167, issued on Sep 12, 2018. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Longmont, CO. The record was last updated on Sep 12, 2018.