Individual provider · Type 1 NPI

Jennifer Nicole Bruner

Massage Therapist · Fayetteville, AR

NPI number 1205712759 Active

Practice location

2863 N Old Missouri Rd Ste 112C
Fayetteville, AR 72703-3777

Call (479) 301-0507 Map

Mailing address

28049 Highway 295
Wesley, AR 72773-8700

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X8803 (AR)

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 1205712759

Jennifer Nicole Bruner's National Provider Identifier is 1205712759, issued on Aug 12, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Fayetteville, AR. The record was last updated on Aug 12, 2025.