Healthcare Provider Details

I. General information

NPI: 1992053326
Provider Name (Legal Business Name): ANNE CAROLINE BECK PT, NBC-HWC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2012
Last Update Date: 02/02/2023
Certification Date: 02/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 KIANA CT APT A
PADUCAH KY
42001-6767
US

IV. Provider business mailing address

100 KIANA CT APT A
PADUCAH KY
42001-6767
US

V. Phone/Fax

Practice location:
  • Phone: 270-443-0681
  • Fax: 270-442-7948
Mailing address:
  • Phone: 270-443-0681
  • Fax: 270-442-7948

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License NumberA-3372155
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number002235
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: