IndividualActive
Brenna Underwood, LMT
NPI 1003525890 · Massage Therapist · Fort Wayne, IN
Provider details
- NPI number
- 1003525890
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- License
- MT22207714 (IN)
Practice location
101 Three Rivers N # 112
Fort Wayne, IN 46802-1312
Phone: (260) 710-0873
Mailing address
101 Three Rivers N # 112
Fort Wayne, IN 46802-1312
Registry dates
- Enumerated
- 2022-11-21
- Last updated
- 2025-07-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.