Organization
RENUE 018 TAWAS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY KLAPISH (CEO)
(989) 450-3341
Entity
Organization
Contact information
Practice address
540 W LAKE ST STE 3, TAWAS CITY, MI 48763-5101
(989) 984-6075
(989) 305-6038
Mailing address
804 N WATER ST, BAY CITY, MI 48708-5620
(989) 450-3341
(989) 778-1237
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790452043
—
MI
Enumeration date
08/25/2021
Last updated
04/14/2025
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