Healthcare Provider Details

I. General information

NPI: 1992638696
Provider Name (Legal Business Name): SYDNEY RENNING DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2436 N 48TH ST STE 101
LINCOLN NE
68504-3741
US

IV. Provider business mailing address

PO BOX 34669
OMAHA NE
68134-0669
US

V. Phone/Fax

Practice location:
  • Phone: 402-325-6341
  • Fax: 402-488-0056
Mailing address:
  • Phone: 531-213-2749
  • Fax: 402-614-7835

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number4916
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: