| Doctor Name: | MRS. RENEE MARIE CASSIDY IVES |
| NPI Number: | 1275649931 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | PT011466 |
| Business Practice Address: | 4815 Cooper Rd Suite 102 Blue Ash, OH - 452426993 |
| Business Phone Number: | 5138910934 |
| Business Fax Number: | 5138911323 |
| Mailing Address: | 8675 Weller Rd, MONTGOMERY |
| State: | OH |
| Postal Code: | 452493422 |
| Phone Number: | 5042392912 |
| Fax Number: | |
| NPI Enumeration Date: | 08/22/2006 |
| NPI Last Update Date: | 09/10/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT011466 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| 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 |