Provider Demographics
NPI:1326574450
Name:RENTAS, SUHAIL (MS, LAT, ATC)
Entity Type:Individual
Prefix:
First Name:SUHAIL
Middle Name:
Last Name:RENTAS
Suffix:
Gender:F
Credentials:MS, LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5265 ROCKROSE LN
Mailing Address - Street 2:BLDG H22
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-8239
Mailing Address - Country:US
Mailing Address - Phone:787-340-9940
Mailing Address - Fax:
Practice Address - Street 1:5265 ROCKROSE LN
Practice Address - Street 2:BLDG H22
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-8239
Practice Address - Country:US
Practice Address - Phone:787-340-9940
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-10
Last Update Date:2017-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARTO0002862255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer