Healthcare Provider Details

I. General information

NPI: 1811817455
Provider Name (Legal Business Name): RENEE BARNETTE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 CHICK SPRINGS RD STE 210B
GREENVILLE SC
29609-4971
US

IV. Provider business mailing address

413 CRAWFORD HILL RD
GREENVILLE SC
29617-3907
US

V. Phone/Fax

Practice location:
  • Phone: 803-613-4100
  • Fax:
Mailing address:
  • Phone: 803-613-4100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number14138
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: