Provider Demographics
NPI:1831348432
Name:SCHLEGEL, RENA RACHELLE (MPT)
Entity type:Individual
Prefix:
First Name:RENA
Middle Name:RACHELLE
Last Name:SCHLEGEL
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:RENA
Other - Middle Name:RACHELLE
Other - Last Name:REAVES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MPT
Mailing Address - Street 1:1015 KELLEY DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:PARIS
Mailing Address - State:TN
Mailing Address - Zip Code:38242-5819
Mailing Address - Country:US
Mailing Address - Phone:731-641-0002
Mailing Address - Fax:731-641-0030
Practice Address - Street 1:1015 KELLEY DR
Practice Address - Street 2:SUITE 101
Practice Address - City:PARIS
Practice Address - State:TN
Practice Address - Zip Code:38242-5819
Practice Address - Country:US
Practice Address - Phone:731-641-0002
Practice Address - Fax:731-641-0030
Is Sole Proprietor?:No
Enumeration Date:2008-09-18
Last Update Date:2008-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5009225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist