Mindy L Renz, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

1242 11TH St
Clarkston, WA 99403-2815

Phone

(509) 758-2523

Fax

(509) 758-0987

NPI assigned

Feb 18, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1203292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203292800000",
    "number": "1164690640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1732 HUNT AVE",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993542648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1242 11TH ST",
            "city": "CLARKSTON",
            "state": "WA",
            "postal_code": "994032815",
            "telephone_number": "509-758-2523",
            "fax_number": "509-758-0987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENZ",
        "first_name": "MINDY",
        "middle_name": "L",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-18",
        "last_updated": "2008-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Raykovich, RDN
• Keely Reed
• Breeana Reiner, SLP
• Shari Reiter, M.A., M.SC.
• Shelbi Rembold
• Richard J. Weiland, Jr., M.D.
• Catherine Richards
• Kara Richardson
• Jaime Marie Riddle, MS
• Ann Marie Ridinger, MSW

• Physical Therapy Assistant in Clarkston, WA
• Providers in Clarkston, WA by specialty
• Physical Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.