Provider Demographics
NPI:1699789065
Name:PERRY, RENEE SUZANNE (DC)
Entity type:Individual
Prefix:DR
First Name:RENEE
Middle Name:SUZANNE
Last Name:PERRY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1650 TIFFIN AVE
Mailing Address - Street 2:
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840-6849
Mailing Address - Country:US
Mailing Address - Phone:419-425-2225
Mailing Address - Fax:419-425-2244
Practice Address - Street 1:1650 TIFFIN AVE
Practice Address - Street 2:
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840-6849
Practice Address - Country:US
Practice Address - Phone:419-425-2225
Practice Address - Fax:419-425-2244
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-28
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3550111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH4171461Medicare ID - Type Unspecified
V07094Medicare UPIN