Healthcare Provider Details
I. General information
NPI: 1831339415
Provider Name (Legal Business Name): REBECCA LYNNE HITT L.AC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 02/23/2009
Last Update Date: 01/30/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
230 HOTCHKISS AVE
HOTCHKISS CO
81419
US
IV. Provider business mailing address
PO BOX 1601
PAONIA CO
81428-8101
US
V. Phone/Fax
- Phone: 970-872-1400
- Fax: 970-872-1410
- Phone: 970-261-8073
- Fax: 970-872-1410
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171100000X |
| Taxonomy | Acupuncturist |
| License Number | 525 |
| License Number State | CO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: