# RENEW PHYSICAL THERAPY AND WELLNESS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235900234
- **Authorized official:** RACHEL DIANE SWORTWOOD DPT (PHYSICAL THERAPIST)
- **Authorized official phone:** (417) 399-3637

## Contact information

- **Practice address:** 2624 W DARBY ST, SPRINGFIELD, MO 65810-2002
- **Practice address phone:** (417) 399-3637
- **Mailing address:** 4319 S NATIONAL AVE \# 208, SPRINGFIELD, MO 65810-2607
- **Mailing address phone:** (417) 399-3637

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/10/2024
- **Last updated:** 01/10/2024