Provider Demographics
NPI:1720383870
Name:HELLER, REBECCA LYNN (DC)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:LYNN
Last Name:HELLER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:1729 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:BLAIR
Mailing Address - State:NE
Mailing Address - Zip Code:68008-1559
Mailing Address - Country:US
Mailing Address - Phone:402-426-4443
Mailing Address - Fax:402-426-4604
Practice Address - Street 1:1729 WASHINGTON ST
Practice Address - Street 2:STE B
Practice Address - City:BLAIR
Practice Address - State:NE
Practice Address - Zip Code:68008-1501
Practice Address - Country:US
Practice Address - Phone:402-426-4443
Practice Address - Fax:402-426-4604
Is Sole Proprietor?:No
Enumeration Date:2011-01-21
Last Update Date:2017-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1647111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor