Rebecca Ann Frey, REFLEXOGIST

Individual provider Active NPI Reflexologist · Sparta, WI

NPI 1639488273 · NPPES record last updated Sep 30, 2010

Key facts

NPI
1639488273
Entity type
Individual (NPI type 1)
Primary specialty
Reflexologist 173C00000X
License
#RB.10180 (ND)
Practice address
5680 Canary Ave
Sparta, WI 54656
Phone
(608) 272-3623
NPI assigned
Sep 30, 2010
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
#RB.10180NDMDReflexologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Reflexologist 173C00000X #RB.10180 ND Yes

Addresses

Primary practice location

5680 Canary Ave
Sparta, WI 54656

Mailing address

5680 Canary Ave
Sparta, WI 54656
Phone (608) 272-3623

Other providers in Sparta, WI

All providers in Sparta, WI · Reflexologist in Wisconsin

Sources for this page

Verify at the official NPI Registry.