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

Renovus Medical Spa

Organization Point of Service · NPI 1134408214

Renovus Medical Spa is a Point of Service in Gray, Tennessee. Licensed in Tennessee. Registered with an NPI since 2011.

Licensed in
TN
In the registry since
2011

Practice location Address checks out

405 Roy Martin Rd Ste 104
Gray, TN 37615-2551
Phone: (423) 207-0154
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Point of Service (primary) Taxonomy 305S00000X · Licence 17509 (TN)

Record details

NPI number1134408214
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathy Beard — Owner · (423) 207-0154
NPI enumeratedAugust 8, 2011
Last updated in NPPESAugust 8, 2011
Mailing address405 Roy Martin Rd, Ste 104, Gray, TN 37615-2551