Brian Edward Du Fresne, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT.0020730 Issued in CO

Practice address

1114 Martin Rd
Longmont, CO 80504-1243

Phone

(720) 289-5248

NPI assigned

Sep 12, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1536710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536710400000",
    "number": "1710460167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 MARTIN RD",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805041243",
            "telephone_number": "720-289-5248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 MARTIN RD",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805041243",
            "telephone_number": "720-289-5248"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "451 21st Ave",
            "address_purpose": "LOCATION",
            "city": "Longmont",
            "state": "CO",
            "postal_code": "805011421",
            "country_code": "US",
            "telephone_number": "303-678-0772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DU FRESNE",
        "first_name": "BRIAN",
        "middle_name": "EDWARD",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-12",
        "last_updated": "2018-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "MT.0020730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Palmer Drake, DDS
• Chelsea Nicole Dreyer
• Jean Driscoll, JEAN DRISCOLL,LCSW
• Sandrine Druon, IBCLC
• Kimberly Lynn Drybread, MA CCC SLP
• Sarah Jean Dubbe, CMT
• Dominique Dubois
• Katherine Dueber, M.D.
• Adam Dueker
• Alexandria Dufour, PHYSICAL THERAPIST

• Massage Therapist in Longmont, CO
• Providers in Longmont, CO by specialty
• Massage Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; 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.