Renell Diane Finke, B.S.
Individual provider Active NPI Developmental Therapist · Macy, IN
NPI 1609016989 · NPPES record last updated Feb 26, 2009
Key facts
- NPI
- 1609016989
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Developmental Therapist 222Q00000X
- Practice address
- 2641 W 1075 N
Macy, IN 46951-7830 - Phone
- (765) 776-1558
- NPI assigned
- Feb 26, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | IN | Yes |
Addresses
Primary practice location
2641 W 1075 N
Macy, IN 46951-7830
Mailing address
2641 W 1075 N
Macy, IN 46951-7830
Phone (765) 776-1558
Other providers in Macy, IN
All providers in Macy, IN · Developmental Therapist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2009. 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.