| Renova Pt Llc | |
|
5515 Warrensburg Rd, Greeneville, TN 37743-3282 | |
| (423) 788-5106 | |
| Not Available |
| Full Name | Renova Pt Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 5515 Warrensburg Rd, Greeneville, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164291688 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Milton De Brun |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720351034 PECOS PAC ID: 7113323122 Enrollment ID: I20240208003743 |
| Provider Name | Lissie Mayer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417220740 PECOS PAC ID: 6800231788 Enrollment ID: I20240301000944 |
| Mailing Address | Practice Location Address |
|---|---|
| Renova Pt Llc 1113 Tusculum Blvd # 104, Greeneville, TN 37745-4038 Ph: () - | Renova Pt Llc 5515 Warrensburg Rd, Greeneville, TN 37743-3282 Ph: (423) 788-5106 |
Music Therapy Associates Of East Tennessee, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 101 E Grove St, Greeneville, TN 37745 Phone: 423-639-7959 Fax: 423-783-9983 | |
Robin Leigh Carter, DPT, ATP Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4850 E Andrew Johnson Hwy, Greeneville, TN 37745 Phone: 423-787-6733 | |
Mr. Fred Howard Steinberg, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4850 E Andrew Johnson Hwy, Greeneville, TN 37745 Phone: 423-787-6800 | |
Mrs. Christina Marie Elyze-vital, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4850 E Andrew Johnson Hwy, Greeneville, TN 37745 Phone: 423-787-6954 | |
Joshua Ingram, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1321 Tusculum Blvd Unit 9, Greeneville, TN 37745 Phone: 423-798-8420 Fax: 423-798-8422 |