MEDICARE: RENEE CATHERINE PONSLER DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	1201623	TX

General Provider Information

NPI Number	:	1467995027
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RENEE CATHERINE PONSLER DPT

Provider Business Mailing Address
First Line	:	PO BOX 932184
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	31193-2184
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2700 COMMERCE WAY STE 100
Second Line	:
City	:	KAUFMAN
State	:	TX
Zip	:	75142-7300
Country	:	US
Telephone Number	:	469-595-3737
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/29/2016
Last Update Date	:	05/05/2026

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Directions to “ RENEE CATHERINE PONSLER DPT” Practice Location

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