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NPI Code Detail

MEDICARE: CAROL BECKEL

MEDICARE: CAROL BECKEL
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
1225100000XPhysical Therapist101320MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1101320OTHERMOSTATE LICENSE NUMBER

General Provider Information

NPI Number : 1902027485
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROL BECKEL
Provider Business Mailing Address
First Line : 4393 HOLLY HILLS
Second Line :
City : ST. LOUIS
State : MO
Zip : 63116
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3437 CAROLINE AVENUE
Second Line : DEPARTMENT OF PHYSICAL THERAPY
City : ST. LOUIS
State : MO
Zip : 63104-1111
Country : US
Telephone Number : 314-977-8505
Fax Number : 314-977-8513
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2007
Last Update Date : 07/08/2007

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Directions to “ CAROL BECKEL ” Practice Location

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