Individual
RONALD RENARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
941 CHEROKEE DR, SUITE 2A, MARSHALL, MO 65340-3646
(660) 831-1895
(660) 831-1898
Mailing address
3301 BERRYWOOD DR, SUITE 204, COLUMBIA, MO 65201-6517
(573) 449-8771
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101983
LICENSE#
MO
Enumeration date
11/07/2006
Last updated
03/18/2015
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