Provider Demographics
NPI:1306088224
Name:BAUMANN, REBECCA LYNNE (LMBT#12288)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:LYNNE
Last Name:BAUMANN
Suffix:
Gender:F
Credentials:LMBT#12288
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:463 LAMBS CREEK RD
Mailing Address - Street 2:
Mailing Address - City:BREVARD
Mailing Address - State:NC
Mailing Address - Zip Code:28712-5520
Mailing Address - Country:US
Mailing Address - Phone:828-384-8094
Mailing Address - Fax:
Practice Address - Street 1:2861 ASHEVILLE HWY
Practice Address - Street 2:
Practice Address - City:PISGAH FOREST
Practice Address - State:NC
Practice Address - Zip Code:28768-8761
Practice Address - Country:US
Practice Address - Phone:828-384-8094
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-25
Last Update Date:2014-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT6636013-4701225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist