Provider Demographics
NPI:1629874060
Name:AMORMINO, RENEE LYNN (RRT)
Entity type:Individual
Prefix:
First Name:RENEE
Middle Name:LYNN
Last Name:AMORMINO
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:
Other - First Name:RENEE
Other - Middle Name:LYNN
Other - Last Name:MATHEWS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RRT
Mailing Address - Street 1:1950 E WATTLES RD STE 101
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48085-5099
Mailing Address - Country:US
Mailing Address - Phone:248-238-8374
Mailing Address - Fax:248-243-8966
Practice Address - Street 1:1950 E WATTLES RD STE 101
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48085-5099
Practice Address - Country:US
Practice Address - Phone:248-238-8374
Practice Address - Fax:248-243-8966
Is Sole Proprietor?:No
Enumeration Date:2025-02-24
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI44010036332279G1100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279G1100XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredGeneral Care