Organization Name: | RENEW REHAB AND WELLNESS, LLC |
NPI Number: | 1851715890 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES KERRY RICHARDSON (OWNER) |
Mailing Address: | 314 Columbus Ave Nw Vernon |
State: | AL US |
Postal Code: | 355925703 |
Phone Number: | 2056955111 |
Fax Number: | 2056955110 |
NPI Enumeration Date: | 02/11/2014 |
NPI Last Update Date: | 02/11/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PTH2757 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
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 |