Renee Lynn Outlaw, CMT, LMT,

NPI #1639564701 in Lafayette, California

Provider Information

NPI Number: 1639564701
Entity Type: Individual
Name: Renee Lynn Outlaw, CMT, LMT,
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Credential: CMT, LMT,
Enumeration Date: Apr 5, 2015
Last Updated: Apr 5, 2015

Practice Location

Address: 3705 MT DIABLO BLVD STE B
City: Lafayette
State: California
ZIP Code: 94549-3540
Phone: (925) 297-5124

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary
Reflexologist	173C00000X
Specialist	174400000X
Specialist - Research Study — Research Study	1744R1102X
Health Educator	174H00000X

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