Healthcare Provider Details

I. General information

NPI: 1194899872
Provider Name (Legal Business Name): WENDY MARIE BECKER LMT, L.AC.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: WENDY BECKER WENDY BECKER

II. Dates (important events)

Enumeration Date: 11/17/2006
Last Update Date: 08/15/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3861 NORTH 1ST AVE
TUSCON AZ
85719
US

IV. Provider business mailing address

3861 N 1ST AVE
TUSCON AZ
85719
US

V. Phone/Fax

Practice location:
  • Phone: 206-355-8069
  • Fax:
Mailing address:
  • Phone: 520-495-8515
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMT-23859
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC60279045
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberLAC-001100
License Number StateAZ
# 4
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA00009772
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: