Provider Demographics
NPI:1386808772
Name:ALLBRIGHT, REBECCA LEE (DPT)
Entity type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:LEE
Last Name:ALLBRIGHT
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:LEE
Other - Last Name:GOODSPEED
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DPT
Mailing Address - Street 1:PO BOX 280
Mailing Address - Street 2:
Mailing Address - City:MINDEN
Mailing Address - State:NV
Mailing Address - Zip Code:89423-0280
Mailing Address - Country:US
Mailing Address - Phone:775-783-7606
Mailing Address - Fax:775-783-7605
Practice Address - Street 1:1667 LUCERNE ST STE B
Practice Address - Street 2:
Practice Address - City:MINDEN
Practice Address - State:NV
Practice Address - Zip Code:89423-4360
Practice Address - Country:US
Practice Address - Phone:775-783-7606
Practice Address - Fax:775-783-7605
Is Sole Proprietor?:No
Enumeration Date:2008-07-15
Last Update Date:2010-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM3546225100000X
NV2406225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist