Provider Demographics
NPI:1902837487
Name:HOYT, RABECCA ASHLEY (AP, MT)
Entity Type:Individual
Prefix:
First Name:RABECCA
Middle Name:ASHLEY
Last Name:HOYT
Suffix:
Gender:F
Credentials:AP, MT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3420 DUCK AVE
Mailing Address - Street 2:
Mailing Address - City:KEY WEST
Mailing Address - State:FL
Mailing Address - Zip Code:33040-4427
Mailing Address - Country:US
Mailing Address - Phone:305-296-5358
Mailing Address - Fax:
Practice Address - Street 1:3420 DUCK AVE
Practice Address - Street 2:
Practice Address - City:KEY WEST
Practice Address - State:FL
Practice Address - Zip Code:33040-4427
Practice Address - Country:US
Practice Address - Phone:305-296-5358
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-05
Last Update Date:2019-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA25088225700000X
FLAP922171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLC0426OtherBCBS FL MASSAGE
FL651028915OtherTAX ID #
FLC-0426OtherBCBS PROVIDER #