Provider Demographics
NPI:1437422417
Name:RENSHAW, PATRICIA (DPT)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:RENSHAW
Suffix:
Gender:F
Credentials: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 1722
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28802-1722
Mailing Address - Country:US
Mailing Address - Phone:828-398-4439
Mailing Address - Fax:828-398-4439
Practice Address - Street 1:183 BARTLETT ST STE 110
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-4306
Practice Address - Country:US
Practice Address - Phone:828-398-4439
Practice Address - Fax:828-398-4439
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-21
Last Update Date:2014-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP13415225100000X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist