Rebecca A Park, LMT, NCTMB is a
Massage Therapist based in Driggs, Idaho. Rebecca A Park is licensed to practice in Idaho (license number MASG-235) and her current practice location is
500 E Ski Hill Rd, Driggs, Idaho. She can be reached at her office (for appointments etc.) via phone at
(208) 354-2871.
NPI number for Rebecca A Park is 1881092955 and her current mailing address is 10175 Snowy Ln, Tetonia, Idaho. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1881092955.
Healthcare Provider's Profile
| Full Name | Rebecca A Park |
|---|
| Gender | Female |
|---|
| Speciality | Massage Therapist |
|---|
| Location | 500 E Ski Hill Rd, Driggs, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1881092955
- Provider Enumeration Date: 12/05/2014
- Last Update Date: 12/05/2014
Medical Identifiers
Medical identifiers for Rebecca A Park such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1881092955 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225700000X | Massage Therapist | MASG-235 (Idaho) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Rebecca A Park is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Rebecca A Park, LMT, NCTMB
10175 Snowy Ln,
Tetonia, ID 83452-4962
Ph: (208) 390-3418 | Rebecca A Park, LMT, NCTMB
500 E Ski Hill Rd,
Driggs, ID 83422
Ph: (208) 354-2871 |
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