Provider Demographics
NPI:1568656601
Name:FORCE, REBBECCA S (LMT)
Entity Type:Individual
Prefix:
First Name:REBBECCA
Middle Name:S
Last Name:FORCE
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:156 W UNIVERSITY PKWY
Mailing Address - Street 2:SUIRTE A
Mailing Address - City:JACKSON
Mailing Address - State:TN
Mailing Address - Zip Code:38305-1617
Mailing Address - Country:US
Mailing Address - Phone:731-664-5681
Mailing Address - Fax:
Practice Address - Street 1:156 W UNIVERSITY PKWY
Practice Address - Street 2:SUIRTE A
Practice Address - City:JACKSON
Practice Address - State:TN
Practice Address - Zip Code:38305-1617
Practice Address - Country:US
Practice Address - Phone:731-664-5681
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-31
Last Update Date:2007-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMT0000003344225700000X
KYKY-0187225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist