Provider Demographics
NPI:1396090171
Name:RENNER, JULIE ZIEGLER (DPT)
Entity type:Individual
Prefix:MS
First Name:JULIE
Middle Name:ZIEGLER
Last Name:RENNER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MS
Other - First Name:JULIE
Other - Middle Name:
Other - Last Name:ZIEGLER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DPT
Mailing Address - Street 1:5052 WATERFORD DR UNIT 102
Mailing Address - Street 2:
Mailing Address - City:SHEFFIELD VILLAGE
Mailing Address - State:OH
Mailing Address - Zip Code:44035-1497
Mailing Address - Country:US
Mailing Address - Phone:440-934-9950
Mailing Address - Fax:440-934-9952
Practice Address - Street 1:5052 WATERFORD DR UNIT 102
Practice Address - Street 2:
Practice Address - City:SHEFFIELD VILLAGE
Practice Address - State:OH
Practice Address - Zip Code:44035-1497
Practice Address - Country:US
Practice Address - Phone:440-934-9950
Practice Address - Fax:440-934-9952
Is Sole Proprietor?:No
Enumeration Date:2012-07-18
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT014352225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCG02816Medicare PIN
DC249348YT9Medicare PIN