Provider Demographics
NPI:1942686043
Name:CHESSER, REBECCA JOYCE (IECE)
Entity Type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:JOYCE
Last Name:CHESSER
Suffix:
Gender:F
Credentials:IECE
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:JOYCE
Other - Last Name:THOMPSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7632 LAWRENCEBURG RD
Mailing Address - Street 2:
Mailing Address - City:CHAPLIN
Mailing Address - State:KY
Mailing Address - Zip Code:40012-8009
Mailing Address - Country:US
Mailing Address - Phone:502-507-9260
Mailing Address - Fax:
Practice Address - Street 1:4603 TIMBERWALK CT
Practice Address - Street 2:
Practice Address - City:LA GRANGE
Practice Address - State:KY
Practice Address - Zip Code:40031-6746
Practice Address - Country:US
Practice Address - Phone:703-864-6695
Practice Address - Fax:888-830-3233
Is Sole Proprietor?:No
Enumeration Date:2015-07-31
Last Update Date:2020-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4003222Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist