RENA WILSON LMT NPI 1366065823

NPI Information

  • NPI: 1366065823
  • Provider Name: RENA WILSON, LMT
  • Classification: Neuromusculoskeletal Medicine, Sports Medicine - 204C00000X
  • Entity Type: Individual
  • Address: 3442 FRANCIS ROAD SUITE 130
    ALPHARETTA, UNITED STATES
    ZIP 30004
  • Phone: (770) 363-3193

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NPI Details

Rena Wilson, LMT is a neuromusculoskeletal medicine sports medicine in Alpharetta, UNITED STATES. The provider is a Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine and integrates each of these into the management of the individual engaged in physical exercise (sports) whether as an individual or in team participation. Source: American Osteopathic Association Additional Resources: AOA Osteopathic Board Certification in Neuromusculoskeletal Medicine; https://certification.osteopathic.org/sports-medicine/ Rena Wilson, LMT NPI is 1366065823. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3442 FRANCIS ROAD SUITE 130
ALPHARETTA, UNITED STATES
ZIP 30004
Phone: (770) 363-3193

The enumeration date for this NPI number is 5/19/2020 and was last updated on 10/28/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1204C00000XNeuromusculoskeletal Medicine, Sports MedicineMT003693GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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