Provider Demographics
NPI:1811047889
Name:OAKLAND-GAREY, REBEKAH MICHELE (DC)
Entity type:Individual
Prefix:
First Name:REBEKAH
Middle Name:MICHELE
Last Name:OAKLAND-GAREY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:BETSY
Other - Middle Name:MICHELE
Other - Last Name:OAKLAND-GAREY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:10438 185TH ST W STE 200
Mailing Address - Street 2:
Mailing Address - City:LAKEVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55044-5307
Mailing Address - Country:US
Mailing Address - Phone:952-898-0525
Mailing Address - Fax:952-898-0935
Practice Address - Street 1:10438 185TH ST W STE 200
Practice Address - Street 2:
Practice Address - City:LAKEVILLE
Practice Address - State:MN
Practice Address - Zip Code:55044-5307
Practice Address - Country:US
Practice Address - Phone:952-898-0525
Practice Address - Fax:952-898-0935
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4193111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN776143100Medicaid
MN350002850Medicare ID - Type Unspecified