Provider Demographics
NPI:1255561007
Name:KESSLER, RE BECCA SUE (LP)
Entity type:Individual
Prefix:MRS
First Name:RE BECCA
Middle Name:SUE
Last Name:KESSLER
Suffix:
Gender:F
Credentials:LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:416 NW 44TH ST
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98660-1739
Mailing Address - Country:US
Mailing Address - Phone:360-909-8179
Mailing Address - Fax:
Practice Address - Street 1:416 NW 44TH ST
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98660-1739
Practice Address - Country:US
Practice Address - Phone:360-909-8179
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-15
Last Update Date:2009-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist