Mindy L Renz, PTA

NPI #1164690640 in Clarkston, Washington

Provider Information

NPI Number: 1164690640
Entity Type: Individual
Name: Mindy L Renz, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Feb 18, 2008
Last Updated: Feb 18, 2008

Practice Location

Address: 1242 11TH ST
City: Clarkston
State: Washington
ZIP Code: 99403-2815
Phone: (509) 758-2523

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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