Provider Demographics
NPI:1871550376
Name:REES, REBECCA ANN (PT)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:ANN
Last Name:REES
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:
Other - Last Name:PAULY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12400 PORTLAND AVE
Mailing Address - Street 2:COURAGE KENNY REHABILITATION INSTITUTE
Mailing Address - City:BURNSVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55337-6868
Mailing Address - Country:US
Mailing Address - Phone:952-428-0400
Mailing Address - Fax:612-262-6721
Practice Address - Street 1:12400 PORTLAND AVE
Practice Address - Street 2:COURAGE KENNY REHABILITATION INSTITUTE
Practice Address - City:BURNSVILLE
Practice Address - State:MN
Practice Address - Zip Code:55337-6868
Practice Address - Country:US
Practice Address - Phone:952-428-0400
Practice Address - Fax:612-262-6721
Is Sole Proprietor?:No
Enumeration Date:2006-04-27
Last Update Date:2020-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5542225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
4600123OtherMEDICA
48Q86REOtherBCBS MINNESOTA
HP41252OtherHEALTHPARTNERS