Provider Demographics
NPI:1427375690
Name:POKORNY, REBECCA BETH (RPT, MAED)
Entity Type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:BETH
Last Name:POKORNY
Suffix:
Gender:F
Credentials:RPT, MAED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2720 W 27TH ST
Mailing Address - Street 2:
Mailing Address - City:HAYS
Mailing Address - State:KS
Mailing Address - Zip Code:67601-9708
Mailing Address - Country:US
Mailing Address - Phone:785-628-6073
Mailing Address - Fax:
Practice Address - Street 1:2720 W 27TH ST
Practice Address - Street 2:
Practice Address - City:HAYS
Practice Address - State:KS
Practice Address - Zip Code:67601-9708
Practice Address - Country:US
Practice Address - Phone:785-628-6073
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-28
Last Update Date:2010-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS11-012392251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics