Provider Demographics
NPI:1851599914
Name:PIRTLE, RENEE THOMPSON (OT)
Entity Type:Individual
Prefix:MRS
First Name:RENEE
Middle Name:THOMPSON
Last Name:PIRTLE
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:131 MEADOWLARK DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:KY
Mailing Address - Zip Code:40475-2235
Mailing Address - Country:US
Mailing Address - Phone:253-625-3062
Mailing Address - Fax:859-624-9358
Practice Address - Street 1:131 MEADOWLARK DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:KY
Practice Address - Zip Code:40475-2235
Practice Address - Country:US
Practice Address - Phone:253-625-3062
Practice Address - Fax:859-624-9358
Is Sole Proprietor?:No
Enumeration Date:2007-07-10
Last Update Date:2007-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYR1881225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist