Healthcare Provider Details

I. General information

NPI: 1437074580
Provider Name (Legal Business Name): CARLEE ANNE BECKER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

609 E YOUNG AVE STE B1-B2
WARRENSBURG MO
64093-9609
US

IV. Provider business mailing address

1011 CHELSEA CT
WARRENSBURG MO
64093-9670
US

V. Phone/Fax

Practice location:
  • Phone: 660-747-2370
  • Fax: 660-747-2461
Mailing address:
  • Phone: 702-788-7900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2026037919
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: