Provider Demographics
NPI:1154138071
Name:HIMES, REBECCA KATHLEEN (HWC, RETIRED CPO)
Entity type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:KATHLEEN
Last Name:HIMES
Suffix:
Gender:F
Credentials:HWC, RETIRED CPO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 122
Mailing Address - Street 2:
Mailing Address - City:HOLLIDAYSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:16648-0122
Mailing Address - Country:US
Mailing Address - Phone:814-505-8035
Mailing Address - Fax:
Practice Address - Street 1:387 KOCH LN
Practice Address - Street 2:
Practice Address - City:HOLLIDAYSBURG
Practice Address - State:PA
Practice Address - Zip Code:16648-8409
Practice Address - Country:US
Practice Address - Phone:814-505-8035
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-13
Last Update Date:2024-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach