Individual provider · Type 1 NPI
Madison Renollet
Student in an Organized Health Care Education/Training Program · Bradner, OH
NPI number
1255708673
Active
Practice location
13351 Wayne Rd
Bradner, OH 43406-9708
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer | 2255A2300X | None listed |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
About NPI 1255708673
Madison Renollet's National Provider Identifier is 1255708673, issued on Sep 2, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bradner, OH. The record was last updated on Sep 2, 2015.