Provider Demographics
NPI:1003935461
Name:MONSON, RENEE MICHELLE (MS PT)
Entity Type:Individual
Prefix:MRS
First Name:RENEE
Middle Name:MICHELLE
Last Name:MONSON
Suffix:
Gender:F
Credentials:MS PT
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Mailing Address - Street 1:1894 BROADVIEW WAY
Mailing Address - Street 2:
Mailing Address - City:WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98801-8218
Mailing Address - Country:US
Mailing Address - Phone:509-662-0333
Mailing Address - Fax:
Practice Address - Street 1:1111 N MISSION ST
Practice Address - Street 2:
Practice Address - City:WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98801-6705
Practice Address - Country:US
Practice Address - Phone:509-888-2505
Practice Address - Fax:509-888-2507
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT000074382251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics