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NPI Code Detail

MEDICARE: REBEKA STEVENS

MEDICARE: REBEKA STEVENS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage TherapistMA107465FL

General Provider Information

NPI Number : 1326991456
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBEKA STEVENS
Provider Business Mailing Address
First Line : 401 LORING AVE APT 304
Second Line :
City : ORANGE PARK
State : FL
Zip : 32073-2947
Country : US
Telephone Number : 904-772-6522
Fax Number : 904-772-6553
Provider Business Practice Location Address
First Line : 9785 CROSSHILL BLVD STE 108
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32222-5889
Country : US
Telephone Number : 904-772-6522
Fax Number : 904-772-6553
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/18/2026
Last Update Date : 02/18/2026

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Directions to “ REBEKA STEVENS ” Practice Location

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