| Doctor Name: | MR. PHILLIP RENNINGER |
| NPI Number: | 1174633382 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MPT |
| License Number: | 7769 |
| Business Practice Address: | 520 E Whidbey Ave Suite 102 Oak Harbor, WA - 982775922 |
| Business Phone Number: | 3606759030 |
| Business Fax Number: | 3606752204 |
| Mailing Address: | 520 E Whidbey Ave, Suite 102 OAK HARBOR |
| State: | WA |
| Postal Code: | 982775922 |
| Phone Number: | 3606759030 |
| Fax Number: | 3606752204 |
| NPI Enumeration Date: | 08/30/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | 7769 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |