Individual
REBECCA ROSE HALSTEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT
Contact information
Practice address
24901 S POWER RD, QUEEN CREEK, AZ 85142-8428
(480) 390-4569
Mailing address
4105 REID RD, SWARTZ CREEK, MI 48473-8973
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601001672
MI
Other
Enumeration date
07/19/2017
Last updated
08/31/2023
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