Individual
MICAH N RENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1838 W PARKSIDE LN STE 110, PHOENIX, AZ 85027-1370
(480) 454-4698
(480) 454-4699
Mailing address
PO BOX 5718, KALISPELL, MT 59903-5718
(406) 756-0134
(406) 300-1612
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-034216
AZ
Other
Enumeration date
06/20/2025
Last updated
06/20/2025
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