Marie Grace Dufresne, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA61324898 Issued in WA

Practice address

700 Dupont St
Bellingham, WA 98225-4021

Phone

(415) 465-2401

NPI assigned

Aug 12, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other names 1

• Mary Grace Roberts Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mahal Bodywork Studio, LLC

  • Massage Therapist
  • Bellingham, WA
  • NPI 1235919101
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1660262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1154059558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2307 HENRY ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982252208",
            "telephone_number": "415-465-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 DUPONT ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254021",
            "telephone_number": "415-465-2401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1211 Granary Ave Fl 3",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "982253089",
            "country_code": "US",
            "telephone_number": "415-465-2401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1209 11th St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "982257000",
            "country_code": "US",
            "telephone_number": "415-465-2401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUFRESNE",
        "first_name": "MARIE",
        "middle_name": "GRACE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-12",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "102X00000X",
            "taxonomy_group": "",
            "desc": "Poetry Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA61324898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "ROBERTS",
            "middle_name": "GRACE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• James Lee Duff, PHD
• Ashley Anne Duffus, LMT
• Jack Duffy, MA PSYCHOLOGY
• Panee Duffy, L.M.P.
• Jillian Dufresne, CBT
• Jonathan Dukes, MSW
• Christine Lynne Duncan, FNP
• Kristen Rose Duncan, LMT
• Sonja Duncan
• Trevor Aaron Duncan

• Massage Therapist in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.