Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Renaissance Medical Spa, LLC

Organization Family Medicine Physician · NPI 1275865446

Renaissance Medical Spa, LLC provides Family Medicine Physician services in Seymour, Indiana. Licensed in Indiana. Registered with an NPI since 2010.

Licensed in
IN
In the registry since
2010
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1414 E Tipton St
Seymour, IN 47274-3533 Not confirmed with CMS for 16 years — call before visiting
Phone: (812) 524-9222
Fax: (812) 524-9777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 01047137 (IN)

Record details

NPI number1275865446
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Snook — Owner · (812) 524-9222
NPI enumeratedFebruary 12, 2010
Last updated in NPPESFebruary 12, 2010
Mailing address1414 E Tipton St, Seymour, IN 47274-3533

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