Provider Demographics
NPI:1598968216
Name:ZAL, REBEKAH ANNE (MASSAGE PRACTITIONER)
Entity Type:Individual
Prefix:MRS
First Name:REBEKAH
Middle Name:ANNE
Last Name:ZAL
Suffix:
Gender:F
Credentials:MASSAGE PRACTITIONER
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Mailing Address - Street 1:1109 SKYRIDGE ST SE
Mailing Address - Street 2:
Mailing Address - City:LACEY
Mailing Address - State:WA
Mailing Address - Zip Code:98503-1854
Mailing Address - Country:US
Mailing Address - Phone:360-556-7840
Mailing Address - Fax:360-339-7595
Practice Address - Street 1:911 5TH AVE SE
Practice Address - Street 2:SUITE 202
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98501-1505
Practice Address - Country:US
Practice Address - Phone:360-556-7840
Practice Address - Fax:360-339-7595
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-08
Last Update Date:2015-04-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WAMA00023689225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist