Individual
MRS. RENEE R RETTELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS PT
Contact information
Practice address
3510 CLINTON PL, SUITE 110, LAWRENCE, KS 66047-2195
(785) 840-3780
Mailing address
515 MILLSTONE RD, LAWRENCE, KS 66049-2351
(785) 748-0099
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-02509
KS
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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