Provider Demographics
NPI:1861817033
Name:RENTAS, ANA REBECCA (DC)
Entity type:Individual
Prefix:DR
First Name:ANA
Middle Name:REBECCA
Last Name:RENTAS
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 1:550 E LAKOTA ST
Mailing Address - Street 2:
Mailing Address - City:GARDNER
Mailing Address - State:KS
Mailing Address - Zip Code:66030-8529
Mailing Address - Country:US
Mailing Address - Phone:913-832-3030
Mailing Address - Fax:
Practice Address - Street 1:550 E LAKOTA ST
Practice Address - Street 2:
Practice Address - City:GARDNER
Practice Address - State:KS
Practice Address - Zip Code:66030-8529
Practice Address - Country:US
Practice Address - Phone:913-832-3030
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-25
Last Update Date:2024-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-05604111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor