Individual provider · Type 1 NPI

Diane Kendrick Dufresne, LMT

Massage Therapist · Springfield, MO

NPI number 1891358180 Active

Practice location

1200 E Woodhurst Dr Ste Q
Springfield, MO 65804-4240

Call (417) 877-1300 Map

Fax (417) 877-1335

Mailing address

1151 S Kimbrough Ave
Springfield, MO 65807-1624

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X2018006551 (MO)

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 1891358180

Diane Kendrick Dufresne, LMT's National Provider Identifier is 1891358180, issued on Apr 22, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Springfield, MO. The record was last updated on Apr 22, 2019.