Provider Demographics
NPI:1003105925
Name:MCNEIL, REBEKAH ANNE
Entity Type:Individual
Prefix:MRS
First Name:REBEKAH
Middle Name:ANNE
Last Name:MCNEIL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1671 UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:WALLA WALLA
Mailing Address - State:WA
Mailing Address - Zip Code:99362-2574
Mailing Address - Country:US
Mailing Address - Phone:509-301-6081
Mailing Address - Fax:
Practice Address - Street 1:1671 UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:WALLA WALLA
Practice Address - State:WA
Practice Address - Zip Code:99362-2574
Practice Address - Country:US
Practice Address - Phone:509-301-6081
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-31
Last Update Date:2011-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist