# RENEW REHAB AND WELLNESS, LLC

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

## Provider details

- **NPI number:** 1851715890
- **Authorized official:** MR. JAMES KERRY RICHARDSON PT (OWNER)
- **Authorized official phone:** (205) 695-5111

## Contact information

- **Practice address:** 314 COLUMBUS AVE NW, VERNON, AL 35592-5703
- **Practice address phone:** (205) 695-5111
- **Practice address fax:** (205) 695-5110
- **Mailing address:** PO BOX 1641, VERNON, AL 35592-1641
- **Mailing address phone:** (205) 695-5111
- **Mailing address fax:** (205) 695-5110

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | PTH2757 | AL | Yes |

## Other

- **Enumeration date:** 02/11/2014
- **Last updated:** 02/11/2014