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NPI Code Detail

MEDICARE: REBECCA JO ACKLEY

MEDICARE: REBECCA JO ACKLEY
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1134079650
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA JO ACKLEY
Provider Business Mailing Address
First Line : 200 W SPRING ST
Second Line :
City : MARQUETTE
State : MI
Zip : 49855-4661
Country : US
Telephone Number : 906-225-9835
Fax Number : 906-225-7282
Provider Business Practice Location Address
First Line : 200 W SPRING ST
Second Line :
City : MARQUETTE
State : MI
Zip : 49855-4661
Country : US
Telephone Number : 906-225-9835
Fax Number : 906-225-7282
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2026
Last Update Date : 02/03/2026

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