Provider Demographics
NPI:1710941497
Name:SAYLOR, REBECCA LYNN (ATC-L)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:LYNN
Last Name:SAYLOR
Suffix:
Gender:F
Credentials:ATC-L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6969 N COUNTY ROAD 50 W
Mailing Address - Street 2:
Mailing Address - City:LIZTON
Mailing Address - State:IN
Mailing Address - Zip Code:46149-9490
Mailing Address - Country:US
Mailing Address - Phone:317-892-3527
Mailing Address - Fax:317-892-3528
Practice Address - Street 1:6969 N COUNTY ROAD 50 W
Practice Address - Street 2:
Practice Address - City:LIZTON
Practice Address - State:IN
Practice Address - Zip Code:46149-9490
Practice Address - Country:US
Practice Address - Phone:317-892-3527
Practice Address - Fax:317-892-3528
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN36000478A2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer