Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Renaissance Medical Spa, LLC

Organization Family Medicine Physician · NPI 1275865446

Renaissance Medical Spa, LLC is a Family Medicine Physician in Seymour, Indiana. Licensed in Indiana. Registered with an NPI since 2010.

Licensed in
IN
In the registry since
2010
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1414 E Tipton St
Seymour, IN 47274-3533
Phone: (812) 524-9222
Fax: (812) 524-9777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 01047137 (IN)

Record details

NPI number1275865446
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Snook — Owner · (812) 524-9222
NPI enumeratedFebruary 12, 2010
Last updated in NPPESFebruary 12, 2010
Mailing address1414 E Tipton St, Seymour, IN 47274-3533

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