Doctor Name: | RENEE LYNETTE MYSLIWIEC |
NPI Number: | 1083914915 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMT |
License Number: | 5040523-4701 |
Business Practice Address: | 301 N. 200 E. #2c St. George, UT - 84770 |
Business Phone Number: | 4356741700 |
Business Fax Number: | 4356744681 |
Mailing Address: | 365 S. 300 E., CEDAR CITY |
State: | UT |
Postal Code: | 84720 |
Phone Number: | 4355310366 |
Fax Number: | 4358656789 |
NPI Enumeration Date: | 10/26/2010 |
NPI Last Update Date: | 10/26/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 5040523-4701 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |