Healthcare Provider Details

I. General information

NPI: 1306787361
Provider Name (Legal Business Name): BRENDA PURCHASE LMT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2026
Last Update Date: 04/03/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5856 FEDERAL RD STE D
HOWARD CITY MI
49329-8857
US

IV. Provider business mailing address

5856 FEDERAL RD STE D
HOWARD CITY MI
49329-8857
US

V. Phone/Fax

Practice location:
  • Phone: 616-430-8614
  • Fax:
Mailing address:
  • Phone: 616-430-8614
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: BRENDA KAY SCOTT
Title or Position: OWNER
Credential: LMT
Phone: 616-430-8614