Provider Demographics
NPI:1215397971
Name:SCHWENGEL, RENEE
Entity Type:Individual
Prefix:
First Name:RENEE
Middle Name:
Last Name:SCHWENGEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3090 S NORFOLK ST
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80013-1931
Mailing Address - Country:US
Mailing Address - Phone:303-522-3174
Mailing Address - Fax:720-573-4828
Practice Address - Street 1:3090 S NORFOLK ST
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80013-1931
Practice Address - Country:US
Practice Address - Phone:303-522-3174
Practice Address - Fax:720-573-4828
Is Sole Proprietor?:No
Enumeration Date:2016-02-24
Last Update Date:2016-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMT.0007385225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist