Provider Demographics
NPI:1669652244
Name:MCCLAIN, REBEKAH C (PT)
Entity Type:Individual
Prefix:
First Name:REBEKAH
Middle Name:C
Last Name:MCCLAIN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 681478
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37068-1478
Mailing Address - Country:US
Mailing Address - Phone:615-591-6590
Mailing Address - Fax:615-591-6601
Practice Address - Street 1:2000 HEWITT AVE
Practice Address - Street 2:SUITE 115
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98201
Practice Address - Country:US
Practice Address - Phone:425-525-2390
Practice Address - Fax:425-252-7940
Is Sole Proprietor?:No
Enumeration Date:2007-11-12
Last Update Date:2018-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN7957225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8947237OtherL&I CRIME
WAG8871705OtherMEDICARE
WA8507428OtherDSHS
WA0232273OtherDEPT OF L&I
TNQ010022Medicaid