Provider Demographics
NPI:1558626358
Name:FRANCIK, REBECCA L (LMP)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:L
Last Name:FRANCIK
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:216 CASEY AVE
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352-4521
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:515 N NEEL ST BLDG C
Practice Address - Street 2:SUITE 105
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99336-2284
Practice Address - Country:US
Practice Address - Phone:509-783-4994
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-08
Last Update Date:2012-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA 60245563172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist