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BRENNA UNDERWOOD LMT
NPI 1003525890
Massage Therapist in Fort Wayne, IN

Active since November 21, 2022
101 THREE RIVERS N # 112, FORT WAYNE, IN 46802(260) 710-0873 Get Directions Write a Review

NPPES record last updated: July 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brenna Underwood Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRENNA UNDERWOOD LMT (NPI 1003525890) is an individual massage therapist in Fort Wayne, Indiana, licensed in Indiana (MT22207714) and active in the NPI registry since November 2022.

NPPES Registry Identity

NPI1003525890
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameBRENNA UNDERWOODCredential: LMT
Location Address101 THREE RIVERS N # 112Fort Wayne, IN 46802-1312
Mailing Address101 Three Rivers N # 112Fort Wayne, IN 46802-1312
Phone(260) 710-0873
Sole ProprietorYes
Enumeration DateNovember 21, 2022
Last NPPES UpdateJuly 18, 2025
NPPES CertifiedJuly 18, 2025
✔ NPI 1003525890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in IN · MT22207714
Definition
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.
101 THREE RIVERS N # 112, Fort Wayne, IN 46802
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brenna Underwood's NPI number?

The NPI number for Brenna Underwood is 1003525890. It was assigned to this individual provider in the NPPES registry on November 21, 2022.

Where is Brenna Underwood located?

Brenna Underwood practices at 101 Three Rivers N # 112, Fort Wayne, IN 46802. The listed phone number is (260) 710-0873.

What is Brenna Underwood's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Brenna Underwood was last updated on July 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.