MEDICARE: JANICE L BECKER LMT

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	225700000X	Massage Therapist	5316	OH

General Provider Information

NPI Number	:	1538633193
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANICE L BECKER LMT

Provider Business Mailing Address
First Line	:	1033 HERBERICH AVE
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44301-1531
Country	:	US
Telephone Number	:	330-671-7462
Fax Number	:	866-848-8617

Provider Business Practice Location Address
First Line	:	2717 S ARLINGTON RD STE A
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44312-4725
Country	:	US
Telephone Number	:	330-671-7461
Fax Number	:	866-848-8617

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

Provider Enumeration Date	:	01/17/2019
Last Update Date	:	01/17/2019

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