Provider Demographics
NPI:1881279875
Name:OCKAY, REBECKA (CPM, LM, LMT)
Entity type:Individual
Prefix:
First Name:REBECKA
Middle Name:
Last Name:OCKAY
Suffix:
Gender:F
Credentials:CPM, LM, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1303 BRAGG RD
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22407-4915
Mailing Address - Country:US
Mailing Address - Phone:501-593-9675
Mailing Address - Fax:
Practice Address - Street 1:1303 BRAGG RD
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22407-4915
Practice Address - Country:US
Practice Address - Phone:501-593-9675
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-11
Last Update Date:2024-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0019019817225700000X
VA0129000200176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist