Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. RENIVA JO S. AVERY, M.A. EL.ED.
Active Sole ProprietorMRS. RENIVA JO S. AVERY, M.A. EL.ED. is a Developmental Therapist healthcare provider located in CANMER, Kentucky. NPI 1114005840 is currently active in the NPPES registry. Verify at CMS.
Developmental Therapist · CANMER, KY
Registration Details
- NPI Number
- 1114005840
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 1, 2006 (19.792544622311 yrs)
- Last Updated
- Mar 28, 2014
- License
-
F254TZ (KY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3770 DEFRIES RDCANMER, KY, 42722Browse KY providers · Browse ZIP 42722
- Phone
- 2705284416
- Fax
- 2705284417
- Primary Specialty
-
Developmental Therapist
222Q00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.