Mrs. Reniva Jo S. Avery, MAELED
Mrs. Reniva Jo S. Avery, MAELED is a Developmental Therapist in Canmer, Kentucky. Practices as a sole proprietor. Licensed in Kentucky.
- Licensed in
- KY
- In the registry since
- 2006
Practice location Address checks out
3770 Defries RdCanmer, KY 42722 Not confirmed with CMS for 12 years — call before visiting
Phone: (270) 528-4416
Fax: (270) 528-4417
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Developmental Therapist (primary) | Taxonomy 222Q00000X · Licence F254TZ (KY) |
|---|
Record details
| NPI number | 1114005840 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MAELED |
| Sole proprietor | Yes |
| NPI enumerated | November 1, 2006 |
| Last updated in NPPES | March 28, 2014 |