NPI
Renovus Medical Spa
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2011-08-08
- Last updated
- 2011-08-08
Specialties
Licenses
- License TN
- 17509
Location
- Practice location
- 405 Roy Martin Rd, Ste 104
- City
- Gray TN
- Postal code
- 37615-2551
- Phone
- (423) 207-0154
Organization contact
- Name
- KATHY BEARD
- Title
- owner
- Phone
- 4232070154
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Gray, TN. 131 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.
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