Provider Demographics
NPI:1992149330
Name:ALVAREZ, REBECCA LEE (LMT)
Entity type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:LEE
Last Name:ALVAREZ
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:MRS
Other - First Name:REBECCA
Other - Middle Name:LEE
Other - Last Name:ALVAREZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMT
Mailing Address - Street 1:901 4TH ST SE
Mailing Address - Street 2:
Mailing Address - City:E WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98802-5408
Mailing Address - Country:US
Mailing Address - Phone:509-860-7976
Mailing Address - Fax:
Practice Address - Street 1:901 4TH ST SE
Practice Address - Street 2:
Practice Address - City:E WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98802-5408
Practice Address - Country:US
Practice Address - Phone:509-860-7976
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-27
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60253191225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist