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MARY ALICE GENDREAU LMT
NPI 1700765575
Massage Therapist in Lebanon, CT

Active since August 27, 2025
159 LAKE SHORE DR, LEBANON, CT 06249(860) 951-2260 Get Directions Write a Review

NPPES record last updated: August 27, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mary Alice Gendreau Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY ALICE GENDREAU LMT (NPI 1700765575) is an individual massage therapist in Lebanon, Connecticut, licensed in Connecticut (4602) and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1700765575
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameMARY ALICE GENDREAUCredential: LMT
Location Address159 LAKE SHORE DRLebanon, CT 06249-1914
Mailing Address159 Lake Shore DrLebanon, CT 06249-1914 · (860) 951-2260 · Fax (860) 951-2260
Phone(860) 951-2260
Sole ProprietorYes
Enumeration DateAugust 27, 2025
NPPES CertifiedAugust 27, 2025
✔ NPI 1700765575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in CT · 4602
Definition
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.
159 LAKE SHORE DR, Lebanon, CT 06249
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Alice Gendreau's NPI number?

The NPI number for Mary Alice Gendreau is 1700765575. It was assigned to this individual provider in the NPPES registry on August 27, 2025.

Where is Mary Alice Gendreau located?

Mary Alice Gendreau practices at 159 Lake Shore Dr, Lebanon, CT 06249. The listed phone number is (860) 951-2260.

What is Mary Alice Gendreau's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Mary Alice Gendreau was last updated on August 27, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.