Healthcare Provider Details
I. General information
NPI: 1740530468
Provider Name (Legal Business Name): TONYA N BECKER PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/11/2012
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
118 RICHARDSON XING
ARNOLD MO
63010-6023
US
IV. Provider business mailing address
647 SPIRIT AIRPARK WEST DR STE 101
CHESTERFIELD MO
63005-1032
US
V. Phone/Fax
- Phone: 636-206-4146
- Fax: 636-223-2542
- Phone: 636-223-5700
- Fax: 636-812-2050
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | 2016042621 |
| License Number State | MO |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | 9958 |
| License Number State | AZ |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: