Tara L Breniser, LMT, MMP is a
Massage Therapist based in Middlebury, Indiana. Tara L Breniser is licensed to practice in Indiana (license number MT21806621) and her current practice location is
801 Wayne St Ste 6, Middlebury, Indiana. She can be reached at her office (for appointments etc.) via phone at
(480) 221-7514.
NPI number for Tara L Breniser is 1669885216 and her current mailing address is 801 Wayne St Ste 6, Middlebury, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1669885216.
Healthcare Provider's Profile
Full Name | Tara L Breniser |
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Gender | Female |
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Speciality | Massage Therapist |
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Location | 801 Wayne St Ste 6, Middlebury, Indiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1669885216
- Provider Enumeration Date: 06/10/2014
- Last Update Date: 02/06/2025
Medical Identifiers
Medical identifiers for Tara L Breniser such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1669885216 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | MT-12663 (Arizona) | Secondary |
225700000X | Massage Therapist | MT21806621 (Indiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tara L Breniser is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Tara L Breniser, LMT, MMP 801 Wayne St Ste 6, Middlebury, IN 46540-9074 Ph: (480) 221-7514 | Tara L Breniser, LMT, MMP 801 Wayne St Ste 6, Middlebury, IN 46540-9074 Ph: (480) 221-7514 |
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