Provider Demographics
NPI:1346607611
Name:SAUTER, RENAE (OTR/L, OTD)
Entity Type:Individual
Prefix:
First Name:RENAE
Middle Name:
Last Name:SAUTER
Suffix:
Gender:F
Credentials:OTR/L, OTD
Other - Prefix:MRS
Other - First Name:RENAE
Other - Middle Name:C
Other - Last Name:SCHRAMM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L, OTD
Mailing Address - Street 1:403 W ADRIAN ST
Mailing Address - Street 2:
Mailing Address - City:BLISSFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:49228-1001
Mailing Address - Country:US
Mailing Address - Phone:517-902-6158
Mailing Address - Fax:
Practice Address - Street 1:403 W ADRIAN ST
Practice Address - Street 2:
Practice Address - City:BLISSFIELD
Practice Address - State:MI
Practice Address - Zip Code:49228-1001
Practice Address - Country:US
Practice Address - Phone:517-902-6158
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-18
Last Update Date:2016-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOT.008124225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist