NPI 1003525890

Brenna Underwood, LMT

Practitioner Massage Therapist Fort Wayne, IN

Practice location

Address: 101 Three Rivers N # 112, Fort Wayne, IN 46802-1312
Phone: (260) 710-0873

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence MT22207714 (IN)

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Registry record

NPI: 1003525890
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Nov 2022
Record last updated: 18 Jul 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.