Renae Coberley
Individual provider Active NPI Physical Therapy Assistant · Gallatin, MO
NPI 1447734686 · NPPES record last updated Sep 24, 2018
Key facts
- NPI
- 1447734686
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- Practice address
- 1337 W Grand St
Gallatin, MO 64640-8320 - Phone
- (660) 663-2197
- NPI assigned
- Sep 24, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | Yes |
Addresses
Primary practice location
1337 W Grand St
Gallatin, MO 64640-8320
Mailing address
13155 Highway DD
Purdin, MO 64674-8022
Other providers in Gallatin, MO
- Samantha Lee Boyd
- Cameron Regional Medical Center Inc
- Cameron Regional Medical Center Inc
- Circle of Life Community Hospice & Palliative Care
- Marie D Clark
- Community Ambulance District
- Kaitlyn Nicole Curtis
- D H Davis Drug Co Inc
- Abigail Grace Daffron
- Daviess County Board for the Developmentally Disabled
All providers in Gallatin, MO · Physical Therapy Assistant in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 24, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.