Provider Demographics
NPI:1770469900
Name:REN INTEGRATED THERAPIES, LLC
Entity type:Organization
Organization Name:REN INTEGRATED THERAPIES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VEENA
Authorized Official - Middle Name:
Authorized Official - Last Name:KALLAMBETTU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-594-2649
Mailing Address - Street 1:7210 WHITE CAP DR
Mailing Address - Street 2:
Mailing Address - City:POWELL
Mailing Address - State:OH
Mailing Address - Zip Code:43065-5129
Mailing Address - Country:US
Mailing Address - Phone:319-594-2649
Mailing Address - Fax:
Practice Address - Street 1:7210 WHITE CAP DR
Practice Address - Street 2:
Practice Address - City:POWELL
Practice Address - State:OH
Practice Address - Zip Code:43065-5129
Practice Address - Country:US
Practice Address - Phone:319-594-2649
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-13
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty