Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TARA L BRENISER, LMT, MMP
ActiveTARA L BRENISER, LMT, MMP is a Massage Therapist healthcare provider located in MIDDLEBURY, Indiana. NPI 1669885216 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · MIDDLEBURY, IN
Registration Details
- NPI Number
- 1669885216
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 10, 2014 (12.134126267781 yrs)
- Last Updated
- Feb 6, 2025
- Licenses
-
MT-12663 (AZ)MT21806621 (IN)
Practice Information
- Address
-
801 WAYNE ST STE 6MIDDLEBURY, IN, 465409074Browse IN providers · Browse ZIP 46540
- Phone
- 4802217514
- Primary Specialty
-
Massage Therapist
225700000X
- Additional Specialty
- Massage Therapist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.