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Tara L Breniser, LMT,MMP
Massage Therapist in Middlebury, Indiana
NPI 1669885216

Tara L Breniser is a Massage Therapist based in Middlebury, IN. Tara L Breniser practices in Middlebury, IN and has the professional credentials of LMT,MMP. The NPI Number for Tara L Breniser is 1669885216 and holds a License No. MT-12663 (Indiana).

The current practice location address for Tara L Breniser is 801 Wayne St Ste 6, Middlebury, IN and can be reached out via phone at 480-221-7514.

Location: 801 Wayne St Ste 6, Middlebury, IN, 46540-9074
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669885216
Provider Name
Tara L Breniser
Credential
LMT,MMP
Provider Entity Type
Individual
Gender
Female
Address
801 Wayne St Ste 6, Middlebury, IN, 46540-9074
Phone Number
480-221-7514
Fax Number
Provider Enumeration Date
06/10/2014
Last Update Date
02/15/2025
institution
Provider Business Practice Location Address Details
Address
801 Wayne St Ste 6
City
Middlebury
State
Indiana
Zip
46540-9074
Phone Number
480-221-7514
Fax Number
person
Provider Business Mailing Address Details
Address
801 Wayne St Ste 6
City
Middlebury
State
Indiana
Zip
46540-9074
Phone Number
480-221-7514
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MT-12663 (Arizona)
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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