Provider Demographics
NPI:1831339415
Name:HITT, REBECCA LYNNE (LAC)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:LYNNE
Last Name:HITT
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:LYNNE
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LAC
Mailing Address - Street 1:PO BOX 1601
Mailing Address - Street 2:
Mailing Address - City:PAONIA
Mailing Address - State:CO
Mailing Address - Zip Code:81428-8101
Mailing Address - Country:US
Mailing Address - Phone:970-261-8073
Mailing Address - Fax:970-872-1410
Practice Address - Street 1:230 HOTCHKISS AVE
Practice Address - Street 2:
Practice Address - City:HOTCHKISS
Practice Address - State:CO
Practice Address - Zip Code:81419
Practice Address - Country:US
Practice Address - Phone:970-872-1400
Practice Address - Fax:970-872-1410
Is Sole Proprietor?:No
Enumeration Date:2009-02-23
Last Update Date:2019-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO525171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist