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Brenna Underwood, LMT
Massage Therapist in Fort Wayne, Indiana
NPI 1003525890

Brenna Underwood is a Massage Therapist based in Fort Wayne, IN. Brenna Underwood practices in Fort Wayne, IN and has the professional credentials of LMT. The NPI Number for Brenna Underwood is 1003525890 and holds a License No. MT22207714 (Indiana).

The current practice location address for Brenna Underwood is 101 Three Rivers N # 112, Fort Wayne, IN and can be reached out via phone at 260-710-0873.

Location: 101 Three Rivers N # 112, Fort Wayne, IN, 46802-1312
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003525890
Provider Name
Brenna Underwood
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
101 Three Rivers N # 112, Fort Wayne, IN, 46802-1312
Phone Number
260-710-0873
Fax Number
Provider Enumeration Date
11/21/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
101 Three Rivers N # 112
City
Fort Wayne
State
Indiana
Zip
46802-1312
Phone Number
260-710-0873
Fax Number
person
Provider Business Mailing Address Details
Address
101 Three Rivers N # 112
City
Fort Wayne
State
Indiana
Zip
46802-1312
Phone Number
260-710-0873
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MT22207714 (Indiana)
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.
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