Provider Demographics
NPI:1013638386
Name:MESSICK, REBECCA RENEE (ATS)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:RENEE
Last Name:MESSICK
Suffix:
Gender:F
Credentials:ATS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 E WILMETTE RD UNIT 204
Mailing Address - Street 2:
Mailing Address - City:PALATINE
Mailing Address - State:IL
Mailing Address - Zip Code:60074-6831
Mailing Address - Country:US
Mailing Address - Phone:224-221-6426
Mailing Address - Fax:
Practice Address - Street 1:900 E WILMETTE RD UNIT 204
Practice Address - Street 2:
Practice Address - City:PALATINE
Practice Address - State:IL
Practice Address - Zip Code:60074-6831
Practice Address - Country:US
Practice Address - Phone:224-221-6426
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-06
Last Update Date:2022-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program