Individual provider · Type 1 NPI

Brenna Underwood, LMT

Massage Therapist · Fort Wayne, IN

NPI number 1003525890 Active

Practice location

101 Three Rivers N # 112
Fort Wayne, IN 46802-1312

Call (260) 710-0873 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT22207714 (IN)

Massage Therapist: 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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About NPI 1003525890

Brenna Underwood, LMT's National Provider Identifier is 1003525890, issued on Nov 21, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Fort Wayne, IN. The record was last updated on Jul 18, 2025.