Provider Demographics
NPI:1952374159
Name:KERBER, RENEE M (MSPT)
Entity Type:Individual
Prefix:
First Name:RENEE
Middle Name:M
Last Name:KERBER
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:254 W. LANCASTER AVE
Mailing Address - Street 2:P.O. BOX 666
Mailing Address - City:PAOLI
Mailing Address - State:PA
Mailing Address - Zip Code:19301
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:649 N LEWIS RD
Practice Address - Street 2:SUITE 220
Practice Address - City:LIMERICK
Practice Address - State:PA
Practice Address - Zip Code:19468-1234
Practice Address - Country:US
Practice Address - Phone:610-495-0095
Practice Address - Fax:610-495-0394
Is Sole Proprietor?:No
Enumeration Date:2006-02-08
Last Update Date:2015-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT015672225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist