Provider Demographics
NPI:1629340658
Name:CLAASSEN, REBECCA SUZANNE (DC)
Entity Type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:SUZANNE
Last Name:CLAASSEN
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 1:1815 CHINO ST
Mailing Address - Street 2:APT. B
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93101-4674
Mailing Address - Country:US
Mailing Address - Phone:805-865-2231
Mailing Address - Fax:
Practice Address - Street 1:1815 CHINO ST
Practice Address - Street 2:APT. B
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-4674
Practice Address - Country:US
Practice Address - Phone:805-865-2231
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-07
Last Update Date:2012-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA31916111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor