Individual
MARSHALL RENNIE
Active
Individual
MARSHALL RENNIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305005790
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
211580
ANTHEM BCBS
VA
01
—
261598
MAMSI
—
Enumeration date
11/18/2005
Last updated
07/13/2026
Update your record
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