NPI Code Details Logo

NPI 1548173495

NPI 1548173495 : RENEE A. SLUSSER M.S., ACSM-EP, LMBT : PUNXSUTAWNEY, PA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1548173495
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    RENEE A. SLUSSER M.S., ACSM-EP, LMBT
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    09/23/2026
-----------------------------------------------------
    Last Update Date     |    09/23/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    19466 119 HWY N 
-----------------------------------------------------
    City                 |    PUNXSUTAWNEY
-----------------------------------------------------
    State                |    PA
-----------------------------------------------------
    Zip                  |    15767
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    814-618-6447
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    54 MAIN ST BOX 85
-----------------------------------------------------
    City                 |    ANITA
-----------------------------------------------------
    State                |    PA
-----------------------------------------------------
    Zip                  |    15711-9759
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    814-952-7678
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    171400000X
-----------------------------------------------------
    Taxonomy Name        |    Health & Wellness Coach
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    224Y00000X
-----------------------------------------------------
    Taxonomy Name        |    Clinical Exercise Physiologist
-----------------------------------------------------
    License Number       |    ACSM-EP
-----------------------------------------------------
    License Number State |    PA
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    225700000X
-----------------------------------------------------
    Taxonomy Name        |    Massage Therapist
-----------------------------------------------------
    License Number       |    MSG015816
-----------------------------------------------------
    License Number State |    PA
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.