NPI 1043733348

Rebecca Rose Halstead, LAT

Practitioner Athletic Trainer Queen Creek, AZ

Practice location

Address: 24901 S Power Rd, Queen Creek, AZ 85142-8428
Phone: (480) 390-4569
Mailing address: 4105 Reid Rd, Swartz Creek, MI 48473-8973

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 2601001672 (MI)

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Registry record

NPI: 1043733348
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Jul 2017
Record last updated: 31 Aug 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.