Provider Demographics
NPI:1447440821
Name:NEFF, RHIANNON REBECCA (MED, ATC)
Entity type:Individual
Prefix:MS
First Name:RHIANNON
Middle Name:REBECCA
Last Name:NEFF
Suffix:
Gender:F
Credentials:MED, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:336 WOODALE DR
Mailing Address - Street 2:APT. 2
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71203-7292
Mailing Address - Country:US
Mailing Address - Phone:318-557-6868
Mailing Address - Fax:318-342-3577
Practice Address - Street 1:308 STADIUM DRIVE
Practice Address - Street 2:MALONE STADIUM
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71209-0001
Practice Address - Country:US
Practice Address - Phone:318-342-3565
Practice Address - Fax:318-342-3577
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-31
Last Update Date:2007-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAATH.2000722255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer