| Provider / Organization | NPI | Date Certified |
|---|---|---|
| REBECCA GREENWELL | 1952917536 | 2020-09-19 |
Rebecca Greenwell is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1952917536. Registration indicates Rebecca Greenwell is a provider of services with a specialization in Other Service Providers, Acupuncturist (Acupuncturist, ) (All Other Specialties & Provider Types, ) (Acupuncturist, Other Service Providers)
| Entity Type | Individual |
| Provider Name | Rebecca Greenwell LAC, MACOM |
| Other Provider Name | Bex Greenwell |
| Practice Office Address | 9450 W FAIRVIEW AVE STE 120 BOISE, ID US |
| Practice Office Telephone | 2092921374 |
| Mailing Address | 9450 W FAIRVIEW AVE STE 120 BOISE, ID 837048179 US |
| Business Telephone | 2092921374 |
| Code | Practice | License No State |
|---|---|---|
| 171100000X PRIMARY | Other Service Providers Acupuncturist Acupuncturist All Other Specialties & Provider Types Acupuncturist Other Service Providers | ACU380
ID |