Provider Demographics
NPI:1811582398
Name:RENSCHLER, SARAH J (RDN LD)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:J
Last Name:RENSCHLER
Suffix:
Gender:F
Credentials:RDN LD
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:J
Other - Last Name:MURRAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RDN, LD
Mailing Address - Street 1:PO BOX 23229
Mailing Address - Street 2:
Mailing Address - City:OWENSBORO
Mailing Address - State:KY
Mailing Address - Zip Code:42304-3229
Mailing Address - Country:US
Mailing Address - Phone:270-688-1330
Mailing Address - Fax:270-688-1338
Practice Address - Street 1:2025 W EVERLY BROTHERS BLVD STE 1A
Practice Address - Street 2:
Practice Address - City:POWDERLY
Practice Address - State:KY
Practice Address - Zip Code:42367-5401
Practice Address - Country:US
Practice Address - Phone:270-377-2600
Practice Address - Fax:270-377-2610
Is Sole Proprietor?:No
Enumeration Date:2021-03-05
Last Update Date:2022-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY262135133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered