Healthcare Provider Details

I. General information

NPI: 1578845285
Provider Name (Legal Business Name): RENUE 003 SAGINAW LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2011
Last Update Date: 06/17/2025
Certification Date: 06/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3901 BAY RD
SAGINAW MI
48603-2438
US

IV. Provider business mailing address

804 N WATER ST
BAY CITY MI
48708-5620
US

V. Phone/Fax

Practice location:
  • Phone: 989-401-5282
  • Fax: 989-401-5286
Mailing address:
  • Phone: 989-295-4844
  • Fax: 989-778-1237

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: TONY KLAPISH
Title or Position: OWNER
Credential:
Phone: 989-791-1337