Individual
KEVIN RENEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
803 N THOMPSON LN, SUITE A-103, MURFREESBORO, TN 37129-4329
(615) 890-7610
(615) 890-9352
Mailing address
1702 WILTSHIRE DR, MURFREESBORO, TN 37129-1083
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
779
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
779
LICENSE #
TN
Enumeration date
08/30/2006
Last updated
07/08/2007
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