Healthcare Provider Details

I. General information

NPI: 1174105324
Provider Name (Legal Business Name): ALEXIS E REBEYKA NMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2021
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8350 E RAINTREE DR STE 205
SCOTTSDALE AZ
85260-2693
US

IV. Provider business mailing address

8350 E RAINTREE DR STE 205
SCOTTSDALE AZ
85260-2693
US

V. Phone/Fax

Practice location:
  • Phone: 480-903-8346
  • Fax: 480-841-5024
Mailing address:
  • Phone: 480-903-8346
  • Fax: 480-841-5024

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number20-1944
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: