Provider Demographics
NPI:1346548948
Name:CREWS, REBECCA (DC)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:CREWS
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 1:7862 TUTTLE HILL RD
Mailing Address - Street 2:
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48197-9430
Mailing Address - Country:US
Mailing Address - Phone:734-383-1984
Mailing Address - Fax:
Practice Address - Street 1:7862 TUTTLE HILL RD
Practice Address - Street 2:
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-9430
Practice Address - Country:US
Practice Address - Phone:734-383-1984
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-05
Last Update Date:2011-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301009789111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor