Provider Demographics
NPI:1811335888
Name:LITTLE, REBECCA (RN/LMT)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:LITTLE
Suffix:
Gender:F
Credentials:RN/LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1710 CATHERINE CT
Mailing Address - Street 2:SUITE F
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36830-5733
Mailing Address - Country:US
Mailing Address - Phone:334-703-7406
Mailing Address - Fax:
Practice Address - Street 1:1710 CATHERINE CT
Practice Address - Street 2:SUITE F
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36830-5733
Practice Address - Country:US
Practice Address - Phone:334-703-7406
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-11
Last Update Date:2013-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-053739163WM1400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM1400XNursing Service ProvidersRegistered NurseNurse Massage Therapist (NMT)