| Renick Therapy, Pllc | |
|
288 W Center St Ste 3 Provo UT 84601-4419 | |
| (801) 686-8288 | |
| Not Available |
| Full Name | Renick Therapy, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 288 W Center St Ste 3, Provo, Utah |
| Authorized Official Name and Position | Andrew Renick (OWNER) |
| Authorized Official Contact | 8016868288 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renick Therapy, Pllc 288 W Center St Ste 3 Provo UT 84601-4419 Ph: (801) 686-8288 | Renick Therapy, Pllc 288 W Center St Ste 3 Provo UT 84601-4419 Ph: (801) 686-8288 |
| NPI Number | 1538857214 |
|---|---|
| Provider Enumeration Date | 05/01/2023 |
| Last Update Date | 06/29/2023 |
| Certification Date | 06/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538857214 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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