Provider Demographics
NPI:1598049561
Name:TAYLOR, REBECCA LYNN (DC)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:LYNN
Last Name:TAYLOR
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 1:8901 W TUCANNON AVE
Mailing Address - Street 2:STE 160
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99336-7213
Mailing Address - Country:US
Mailing Address - Phone:509-967-2225
Mailing Address - Fax:509-967-2900
Practice Address - Street 1:8901 W TUCANNON AVE STE 160
Practice Address - Street 2:
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99336-7213
Practice Address - Country:US
Practice Address - Phone:509-579-5999
Practice Address - Fax:509-834-7407
Is Sole Proprietor?:No
Enumeration Date:2011-10-07
Last Update Date:2020-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH60245525111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor