MEDICARE: DR. REBECCA WOOD

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	111N00000X	Chiropractor	2587	AL

General Provider Information

NPI Number	:	1932675493
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. REBECCA WOOD

Provider Business Mailing Address
First Line	:	30941 MILL LN
Second Line	:	STE B
City	:	SPANISH FORT
State	:	AL
Zip	:	36527-5457
Country	:	US
Telephone Number	:	251-626-8242
Fax Number	:

Provider Business Practice Location Address
First Line	:	30941 MILL LN STE B
Second Line	:
City	:	SPANISH FORT
State	:	AL
Zip	:	36527-5457
Country	:	US
Telephone Number	:	251-626-8242
Fax Number	:

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

Provider Enumeration Date	:	10/22/2018
Last Update Date	:	01/08/2019

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Directions to “ DR. REBECCA WOOD ” Practice Location

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