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

Mrs. Reniva Jo S. Avery, MAELED

Individual provider Developmental Therapist · NPI 1114005840

Mrs. Reniva Jo S. Avery, MAELED is a Developmental Therapist in Canmer, Kentucky. Practices as a sole proprietor. Licensed in Kentucky.

Licensed in
KY
In the registry since
2006

Practice location Address checks out

3770 Defries Rd
Canmer, KY 42722
Phone: (270) 528-4416
Fax: (270) 528-4417
Show map & directions

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

Specialties & licences

Developmental Therapist (primary) Taxonomy 222Q00000X · Licence F254TZ (KY)

Record details

NPI number1114005840
Entity typeIndividual (Type 1)
GenderFemale
Credentials MAELED
Sole proprietorYes
NPI enumeratedNovember 1, 2006
Last updated in NPPESMarch 28, 2014