Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | NT1208 | WA |
NPI | 1023107745 |
---|---|
Provider Name | Dr. Rebecca Lockett Andrews |
First Address | Austin, TX 78749-4303 |
Second Address | Austin, TX 78735-8827 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/10/2006 |
Last Update Date | 18/11/2021 |