Individual
JENNIFER NICOLE BRUNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2863 N OLD MISSOURI RD STE 112C, FAYETTEVILLE, AR 72703-3777
(479) 301-0507
Mailing address
28049 HIGHWAY 295, WESLEY, AR 72773-8700
(479) 236-6434
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8803
AR
Other
Enumeration date
08/12/2025
Last updated
08/12/2025
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