Provider Demographics
NPI:1235787664
Name:WARRINGTON, REBEKAH COLEEN (ATC)
Entity Type:Individual
Prefix:
First Name:REBEKAH
Middle Name:COLEEN
Last Name:WARRINGTON
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:329 N 24TH ST
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23223-7113
Mailing Address - Country:US
Mailing Address - Phone:302-858-1774
Mailing Address - Fax:
Practice Address - Street 1:1300 W BROAD ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23284-9058
Practice Address - Country:US
Practice Address - Phone:048-828-0822
Practice Address - Fax:804-828-1416
Is Sole Proprietor?:No
Enumeration Date:2019-08-28
Last Update Date:2022-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01260035702255A2300X
WV2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer