Provider Demographics
NPI:1558573808
Name:SITTY, REBEKAH VICTORIA (LAC)
Entity Type:Individual
Prefix:MS
First Name:REBEKAH
Middle Name:VICTORIA
Last Name:SITTY
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 VALENCIA ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94103-2318
Mailing Address - Country:US
Mailing Address - Phone:415-675-8973
Mailing Address - Fax:
Practice Address - Street 1:220 VALENCIA ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94103-2318
Practice Address - Country:US
Practice Address - Phone:415-675-8973
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2007-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 11120171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist