Provider Demographics
NPI:1568650042
Name:HIMES, RENEE LOUISE
Entity Type:Individual
Prefix:
First Name:RENEE
Middle Name:LOUISE
Last Name:HIMES
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 1:24 ANTELOPE BLVD
Mailing Address - Street 2:
Mailing Address - City:RED BLUFF
Mailing Address - State:CA
Mailing Address - Zip Code:96080-2807
Mailing Address - Country:US
Mailing Address - Phone:530-605-4292
Mailing Address - Fax:
Practice Address - Street 1:24 ANTELOPE BLVD
Practice Address - Street 2:
Practice Address - City:RED BLUFF
Practice Address - State:CA
Practice Address - Zip Code:96080-2807
Practice Address - Country:US
Practice Address - Phone:530-605-4292
Practice Address - Fax:530-605-4296
Is Sole Proprietor?:No
Enumeration Date:2007-10-09
Last Update Date:2013-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225000000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotic Fitter