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NPI Code Detail

MEDICARE: MCKENZIE LAUREN BECKER DPT

MEDICARE:   MCKENZIE LAUREN BECKER  DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist61014607WA
2225100000XPhysical Therapist1325941TX

General Provider Information

NPI Number : 1285350546
Entity Type Code : Individual
Provider Name (Legal Business Name) : MCKENZIE LAUREN BECKER DPT
Provider Business Mailing Address
First Line : 1259 HICKORY SPGS
Second Line :
City : WILLOW CITY
State : TX
Zip : 78675-2001
Country : US
Telephone Number : 503-559-1764
Fax Number :
Provider Business Practice Location Address
First Line : 2712 BEE CAVES RD STE 122A
Second Line :
City : AUSTIN
State : TX
Zip : 78746-5662
Country : US
Telephone Number : 512-335-9300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2022
Last Update Date : 10/18/2022

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Directions to “ MCKENZIE LAUREN BECKER DPT” Practice Location

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