Provider Demographics
NPI:1831562800
Name:HAMNER, REBEKAH ASHLEY (ATC)
Entity type:Individual
Prefix:MS
First Name:REBEKAH
Middle Name:ASHLEY
Last Name:HAMNER
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2064 BERKLEY WAY
Mailing Address - Street 2:
Mailing Address - City:HUMMELSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17036-8938
Mailing Address - Country:US
Mailing Address - Phone:717-728-6080
Mailing Address - Fax:
Practice Address - Street 1:2064 BERKLEY WAY
Practice Address - Street 2:
Practice Address - City:HUMMELSTOWN
Practice Address - State:PA
Practice Address - Zip Code:17036-8938
Practice Address - Country:US
Practice Address - Phone:717-728-6080
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-12
Last Update Date:2016-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program