Provider Demographics
NPI:1245451574
Name:WELLS, REBECCA A (DC)
Entity type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:A
Last Name:WELLS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5555 BAYRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:HILLIARD
Mailing Address - State:OH
Mailing Address - Zip Code:43026-9049
Mailing Address - Country:US
Mailing Address - Phone:614-378-3922
Mailing Address - Fax:
Practice Address - Street 1:5151 POST RD
Practice Address - Street 2:SUITE 150
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43017-1245
Practice Address - Country:US
Practice Address - Phone:614-798-9600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3190111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor