Doctor Name: | MR. JOHN RAYMOND RENEAU |
NPI Number: | 1174553317 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MS,PT,OCS,ATC,LAT |
License Number: | 1068286 |
Business Practice Address: | 2500 Kemp Blvd Wichita Falls, TX - 763095347 |
Business Phone Number: | 9406873422 |
Business Fax Number: | 9406870726 |
Mailing Address: | 2500 Kemp Blvd, WICHITA FALLS |
State: | TX |
Postal Code: | 763095347 |
Phone Number: | 9406873422 |
Fax Number: | 9406870726 |
NPI Enumeration Date: | 07/04/2006 |
NPI Last Update Date: | 01/20/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1068286 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |