Rebecca Rose Halstead, LAT
Specialist/Technologist, Athletic Trainer in Queen Creek, AZ. Individual provider (NPI-1).
NPI number1043733348
StatusActive
Last updated in NPPESAug 31, 2023
Details
- NPI
- 1043733348
- Entity type
- Individual (NPI-1)
- Name
- Rebecca Rose Halstead
- Credential
- LAT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 19, 2017
- Certification date
- Aug 31, 2023
- Last updated
- Aug 31, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 2601001672 | MI | Yes |
Other names
- Rebecca Lalley (Former Name)
Practice location
24901 S Power RdQueen Creek, AZ 85142-8428
Phone 480-390-4569
Mailing address
4105 Reid RdSwartz Creek, MI 48473-8973
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All 11 Athletic Trainer providers in Queen Creek · All 1,226 providers in Queen Creek
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