MEDICARE: REBECCA C HERNANDEZ LMT

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
1	225700000X	Massage Therapist	MA60149349	WA

General Provider Information

NPI Number	:	1467763573
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA C HERNANDEZ LMT

Provider Business Mailing Address
First Line	:	2312 N CHERRY ST STE 300
Second Line	:
City	:	SPOKANE VALLEY
State	:	WA
Zip	:	99216-1152
Country	:	US
Telephone Number	:	509-599-6001
Fax Number	:

Provider Business Practice Location Address
First Line	:	2312 N CHERRY ST STE 300
Second Line	:
City	:	SPOKANE VALLEY
State	:	WA
Zip	:	99216-1152
Country	:	US
Telephone Number	:	509-599-6001
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/24/2010
Last Update Date	:	01/30/2014

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Directions to “ REBECCA C HERNANDEZ LMT” Practice Location

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