Provider Demographics
NPI:1033465331
Name:CAPPOZZO, REBECCA MARIE (DC)
Entity Type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:MARIE
Last Name:CAPPOZZO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12450 N RANCHO VISTOSO BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ORO VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85755-9548
Mailing Address - Country:US
Mailing Address - Phone:520-308-4502
Mailing Address - Fax:520-308-4502
Practice Address - Street 1:12450 N RANCHO VISTOSO BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:ORO VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85755-9548
Practice Address - Country:US
Practice Address - Phone:520-308-4502
Practice Address - Fax:520-308-4502
Is Sole Proprietor?:No
Enumeration Date:2012-07-24
Last Update Date:2012-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ8283111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor