Diane Kendrick Dufresne, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

2018006551 Issued in MO

Practice address

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

Phone

(417) 877-1300

Fax

(417) 877-1335

NPI assigned

Apr 22, 2019

Last updated

Apr 22, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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": "1555891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555891200000",
    "number": "1891358180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 S KIMBROUGH AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658071624",
            "telephone_number": "417-370-0662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E WOODHURST DR STE Q",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044240",
            "telephone_number": "417-877-1300",
            "fax_number": "417-877-1335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFRESNE",
        "first_name": "DIANE",
        "middle_name": "KENDRICK",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-22",
        "last_updated": "2019-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MO",
            "license": "2018006551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carla Carisa Duff, DDS
• Mary Ann Duff, RDN, LDN
• Mary H Duff, MD
• Robert Scott Duff, MD
• Katrina Duffy, PA-C
• Heather Dugan-Feldt
• Samantha Dugan, PSYD
• Patricia L. Duggan, PA-C
• Taylor Lea Duke
• Laura Kathryn Dulaney, RN, LPC,FNP

• Massage Therapist in Springfield, MO
• Providers in Springfield, MO by specialty
• Massage Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2019; 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.