Provider Demographics
NPI:1083031645
Name:TENORIO, REENA JAY (PT, DPT)
Entity Type:Individual
Prefix:
First Name:REENA
Middle Name:JAY
Last Name:TENORIO
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 306393
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37230-6393
Mailing Address - Country:US
Mailing Address - Phone:615-933-0996
Mailing Address - Fax:615-373-7116
Practice Address - Street 1:502 N MARKET ST STE 102
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37405-4438
Practice Address - Country:US
Practice Address - Phone:423-634-1922
Practice Address - Fax:423-634-1924
Is Sole Proprietor?:No
Enumeration Date:2014-03-20
Last Update Date:2021-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA41114225100000X
CAPT41114225100000X
TN13177225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist