Provider Demographics
NPI:1023107745
Name:ANDREWS, REBECCA LOCKETT (ND)
Entity type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:LOCKETT
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4600 MONTEREY OAKS BLVD APT 215
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78749-4303
Mailing Address - Country:US
Mailing Address - Phone:425-802-1262
Mailing Address - Fax:
Practice Address - Street 1:5424 W HIGHWAY 290 STE 106
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78735-8827
Practice Address - Country:US
Practice Address - Phone:512-766-4237
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2021-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT1208175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath