| Doctor Name: | RENEE T TEDDER |
| NPI Number: | 1831279710 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | PT00009010 |
| Business Practice Address: | 111 Market St Ne Suite 108 Olympia, WA - 985011008 |
| Business Phone Number: | 3607547085 |
| Business Fax Number: | 3607543671 |
| Mailing Address: | 5210 Corporate Center Loop Se, Suite D LACEY |
| State: | WA |
| Postal Code: | 985035952 |
| Phone Number: | 3604558155 |
| Fax Number: | 3604551655 |
| NPI Enumeration Date: | 10/16/2006 |
| NPI Last Update Date: | 01/16/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT00009010 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| 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 |