Provider Demographics
NPI:1811332679
Name:MESSENGER, RENEE DIANA (MS, ACSM-RCEP)
Entity type:Individual
Prefix:
First Name:RENEE
Middle Name:DIANA
Last Name:MESSENGER
Suffix:
Gender:F
Credentials:MS, ACSM-RCEP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4525 CAMERON VALLEY PKWY
Mailing Address - Street 2:STE 2200
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28211-4369
Mailing Address - Country:US
Mailing Address - Phone:704-512-2404
Mailing Address - Fax:704-512-2474
Practice Address - Street 1:4525 CAMERON VALLEY PKWY
Practice Address - Street 2:STE 2200
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28211-4369
Practice Address - Country:US
Practice Address - Phone:704-512-2404
Practice Address - Fax:704-512-2474
Is Sole Proprietor?:No
Enumeration Date:2013-05-07
Last Update Date:2013-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Y00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersClinical Exercise Physiologist