Reniva Jo S. Avery in Canmer - Developmental Therapist
Reniva Jo S. Avery - NPI 1114005840
Reniva Jo S. Avery is a Developmental Therapist in Canmer, Kentucky. Reniva Jo S. Avery practices all healthcare services and medical treatments related to Developmental Therapist. The NPI Number for Reniva Jo S. Avery is 1114005840. The last update date is 2014-03-28.
Reniva Jo S. Avery's current location address is 3770 Defries Rd, Canmer, Kentucky. You can contact this provider via phone number 2705284416 and fax number 2705284417. The mailing address for Reniva Jo S. Avery is 3770 Defries Rd, Canmer, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Reniva Jo S. Avery |
|---|---|
| Address | 3770 Defries Rd, Canmer, Kentucky |
| Phone Number | 2705284416 |
| Fax Number | 2705284417 |
| Sole Proprietor | Y |
| Credentials | M.A. EL.ED |
NPI Number Detail
| NPI Number | 1114005840 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2014-03-28 |
Provider Mailing Address Detail
| Address | 3770 Defries Rd |
|---|---|
| City | Canmer |
| State | Kentucky (KY) |
| Post Code | 427229461 |
| Phone Number | 2705284416 |
| Fax Number | 2705284417 |
Provider's Primary Taxonomy Detail
| Speciality | Developmental Therapist |
|---|---|
| Taxonomy | 222Q00000X |
| Licence No | F254TZ |
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Definition: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Reniva Jo S. Avery by the Centers for Medicare & Medicaid Services?
The Reniva Jo S. Avery has been assigned the NPI (National Provider Identifier) 1114005840 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Reniva Jo S. Avery's facilities are geographically located?
The facilities of Reniva Jo S. Avery are physically situated at the following location: 3770 Defries Rd, Canmer, KY, 427229461.
What is the area of specialization for Reniva Jo S. Avery, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Reniva Jo S. Avery is Developmental Therapist, and the corresponding taxonomy code that categorizes this area of expertise is 222Q00000X.
When did Reniva Jo S. Avery receive its 1114005840 assignment?
The Reniva Jo S. Avery was assigned its 1114005840 on 2006-11-01, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Reniva Jo S. Avery most recently updated or revised?
The details related to Reniva Jo S. Avery, including its address, specialty, and other relevant information, were last updated or revised on 2014-03-28.