Provider Demographics
NPI:1467732529
Name:ARMENDARIZ, RENATA (DPT)
Entity Type:Individual
Prefix:
First Name:RENATA
Middle Name:
Last Name:ARMENDARIZ
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:RENATA
Other - Middle Name:
Other - Last Name:LUFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:505 IRVIN CT
Mailing Address - Street 2:SUITE 101
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30030-1778
Mailing Address - Country:US
Mailing Address - Phone:404-297-0821
Mailing Address - Fax:404-508-9538
Practice Address - Street 1:5445 MERIDIAN MARK RD STE 290
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-4755
Practice Address - Country:US
Practice Address - Phone:404-785-5699
Practice Address - Fax:404-785-5700
Is Sole Proprietor?:No
Enumeration Date:2011-08-22
Last Update Date:2020-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT010416225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist