JENNIFER NICOLE BRUNER
NPI 1205712759
Massage Therapist in Fayetteville, AR

Active since August 12, 2025
2863 N OLD MISSOURI RD STE 112C, FAYETTEVILLE, AR 72703(479) 301-0507 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jennifer Nicole Bruner NPPES

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

JENNIFER NICOLE BRUNER (NPI 1205712759) is an individual massage therapist in Fayetteville, Arkansas, licensed in Arkansas (8803) and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1205712759
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameJENNIFER NICOLE BRUNER
Location Address2863 N OLD MISSOURI RD STE 112CFayetteville, AR 72703-3777
Mailing Address28049 Highway 295Wesley, AR 72773-8700 · (479) 236-6434
Sole ProprietorYes
Enumeration DateAugust 12, 2025
NPPES CertifiedAugust 12, 2025
NPI 1205712759 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 AR · 8803
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.
2863 N OLD MISSOURI RD STE 112C, Fayetteville, AR 72703

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 Jennifer Bruner's NPI number?

The NPI number for Jennifer Bruner is 1205712759. It was assigned to this individual provider in the NPPES registry on August 12, 2025.

Where is Jennifer Bruner located?

Jennifer Bruner practices at 2863 N Old Missouri Rd Ste 112C, Fayetteville, AR 72703. The listed phone number is (479) 301-0507.

What is Jennifer Bruner'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 Jennifer Bruner was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.