Provider Demographics
NPI:1356673446
Name:VESSELS, REBECCA D (DC)
Entity Type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:D
Last Name:VESSELS
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 1:215 WINSTON DR
Mailing Address - Street 2:
Mailing Address - City:ROCK SPRINGS
Mailing Address - State:WY
Mailing Address - Zip Code:82901-5727
Mailing Address - Country:US
Mailing Address - Phone:307-382-3090
Mailing Address - Fax:307-362-1024
Practice Address - Street 1:215 WINSTON DR
Practice Address - Street 2:
Practice Address - City:ROCK SPRINGS
Practice Address - State:WY
Practice Address - Zip Code:82901-5727
Practice Address - Country:US
Practice Address - Phone:307-382-3090
Practice Address - Fax:307-362-1024
Is Sole Proprietor?:No
Enumeration Date:2010-02-01
Last Update Date:2015-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT7503980-1202111N00000X
WY714111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor