Provider Demographics
NPI:1740537091
Name:BABIK, REBECCA ANNE (EAMP/LAC, LMP)
Entity type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:ANNE
Last Name:BABIK
Suffix:
Gender:F
Credentials:EAMP/LAC, LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1032 SW 117TH ST
Mailing Address - Street 2:
Mailing Address - City:BURIEN
Mailing Address - State:WA
Mailing Address - Zip Code:98146-2719
Mailing Address - Country:US
Mailing Address - Phone:206-715-2396
Mailing Address - Fax:
Practice Address - Street 1:2102 N PEARL ST
Practice Address - Street 2:SUITE 405
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98406-2530
Practice Address - Country:US
Practice Address - Phone:253-752-8822
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-06
Last Update Date:2012-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC 60201870171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist