Provider Demographics
NPI:1730969445
Name:LINDER, RENEE NICOLE (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:RENEE
Middle Name:NICOLE
Last Name:LINDER
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:RENEE
Other - Middle Name:NICOLE
Other - Last Name:BELLIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:610 HELTMAN AVE
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44805-3329
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:622 CENTER ST
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:OH
Practice Address - Zip Code:44805-3343
Practice Address - Country:US
Practice Address - Phone:419-289-3523
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-02
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT018075225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist