Organization
RENEW MANUAL PHYSICAL THERAPY PLLC
Active
Organization
RENEW MANUAL PHYSICAL THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BREANN FAYE SUDDOCK FOX PT, DPT, PRPC (OWNER/THERAPIST)
(602) 515-6659
Entity
Organization
Contact information
Practice address
7444 W SAXTON DR # K101, BOISE, ID 83714-1316
(602) 515-6659
Mailing address
7444 W SAXTON DR # K101, BOISE, ID 83714-1316
(602) 515-6659
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-5245
ID
Other
Enumeration date
09/14/2017
Last updated
07/21/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up