MEDICARE: DR. CHERYL K BECKER DC

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
1	111NI0900X	Internist Chiropractor	2017004892	MO
2	111NP0017X	Pediatric Chiropractor	2017004892	MO

General Provider Information

NPI Number	:	1356856330
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHERYL K BECKER DC

Provider Business Mailing Address
First Line	:	9245 N OAK TRFY
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64155-3392
Country	:	US
Telephone Number	:	913-329-2337
Fax Number	:

Provider Business Practice Location Address
First Line	:	9245 N OAK TRFY
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64155-3392
Country	:	US
Telephone Number	:	913-329-2337
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/12/2017
Last Update Date	:	01/18/2023

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