Individual
REBECCA CAGLE WANEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C-IAYT, MS
Contact information
Practice address
63043 HIGHWAY 25 N, AMORY, MS 38821-8008
(662) 646-1282
Mailing address
63043 HIGHWAY 25 N, AMORY, MS 38821-8008
(662) 646-1282
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
225800000X
Recreation Therapist
—
—
Other
Enumeration date
12/16/2024
Last updated
01/15/2025
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