Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jennifer Nicole Bruner

Individual provider Massage Therapist · NPI 1205712759

Jennifer Nicole Bruner is a Massage Therapist in Fayetteville, Arkansas. Practices as a sole proprietor. Licensed in Arkansas.

Licensed in
AR
In the registry since
2025

Practice location Address checks out

2863 N Old Missouri Rd Ste 112C
Fayetteville, AR 72703-3777
Phone: (479) 301-0507
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 8803 (AR)

Record details

NPI number1205712759
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 12, 2025
Last updated in NPPESAugust 12, 2025
Certification dateAugust 12, 2025
Mailing address28049 Highway 295, Wesley, AR 72773-8700

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