Individual
KATHERINE RENYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
535 GATEWAY DR, LAWRENCE, KS 66049-2342
(785) 331-0106
Mailing address
535 GATEWAY DR, LAWRENCE, KS 66049-2342
(785) 331-0106
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-03208
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
140440
BCBSKS
KS
05
—
200000420A
—
KS
01
—
31984018
BCBSKC
KS
Enumeration date
06/07/2006
Last updated
01/07/2015
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