Individual provider · Type 1 NPI
Tara L. Breniser, LMT, MMP
Massage Therapist · Middlebury, IN
NPI number
1669885216
Active
Practice location
801 Wayne St Ste 6
Middlebury, IN 46540-9074
Other practice locations
- 4111 E Valley Auto Dr Ste 201, Mesa, AZ 85206-4609 · (480) 221-7514
- 3651 E Baseline Rd, Suite E-121, Gilbert, AZ 85234-2689 · (480) 221-7514
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist | 225700000X | MT-12663 (AZ) |
| Massage Therapist Primary | 225700000X | MT21806621 (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.
About NPI 1669885216
Tara L. Breniser, LMT, MMP's National Provider Identifier is 1669885216, issued on Jun 10, 2014. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Middlebury, IN. The record was last updated on Feb 6, 2025.