# BRENDA BROWN RN LMT LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BRENDA BROWN RN LMT LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1801328513
- **Legal business name:** BRENDA BROWN RN LMT LLC
- **Authorized official:** MISS BRENDA LOU BROWN MASSAGE THERAPIST (SOLE PROPRIETER)
- **Authorized official phone:** (614) 579-0356

## Contact information

- **Practice address:** 2700 E MAIN ST, SUITE 108, BEXLEY, OH 43209-2536
- **Practice address phone:** (614) 579-0356
- **Mailing address:** 2700 E MAIN ST, SUITE 108, BEXLEY, OH 43209-2536
- **Mailing address phone:** (614) 579-0356

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | 33.006980 | OH | Yes |

## Other

- **Enumeration date:** 03/31/2017
- **Last updated:** 03/31/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 820875480 | HEALTHCARE ACCOUNTS FROM ORGANIZATIONS THAT PROVIDE MASSAGE | OH |