Organization
BRENDA BROWN RN LMT LLC
Active
Parent organization
BRENDA BROWN RN LMT LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BRENDA BROWN RN LMT LLC
Authorized official
MISS BRENDA LOU BROWN MASSAGE THERAPIST (SOLE PROPRIETER)
(614) 579-0356
Entity
Organization
Contact information
Practice address
2700 E MAIN ST, SUITE 108, BEXLEY, OH 43209-2536
(614) 579-0356
Mailing address
2700 E MAIN ST, SUITE 108, BEXLEY, OH 43209-2536
(614) 579-0356
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
33.006980
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
820875480
HEALTHCARE ACCOUNTS FROM ORGANIZATIONS THAT PROVIDE MASSAGE
OH
Enumeration date
03/31/2017
Last updated
03/31/2017
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