Provider Demographics
NPI:1528253655
Name:ALBERT, REBECCA J (LMP)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:J
Last Name:ALBERT
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30821 PACIFIC HWY S
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003-4995
Mailing Address - Country:US
Mailing Address - Phone:253-839-8608
Mailing Address - Fax:253-941-6821
Practice Address - Street 1:30821 PACIFIC HWY S
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-4995
Practice Address - Country:US
Practice Address - Phone:253-839-8608
Practice Address - Fax:253-941-6821
Is Sole Proprietor?:No
Enumeration Date:2007-09-11
Last Update Date:2007-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00024305225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist