Provider Demographics
NPI:1477250280
Name:PIERCE, REBECCA (DC)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:PIERCE
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 1:624 E WILLOW ST
Mailing Address - Street 2:
Mailing Address - City:SCOTTSBORO
Mailing Address - State:AL
Mailing Address - Zip Code:35768-2004
Mailing Address - Country:US
Mailing Address - Phone:256-574-2638
Mailing Address - Fax:
Practice Address - Street 1:624 E WILLOW ST
Practice Address - Street 2:
Practice Address - City:SCOTTSBORO
Practice Address - State:AL
Practice Address - Zip Code:35768-2004
Practice Address - Country:US
Practice Address - Phone:256-574-2638
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-13
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2747111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor