MR. Kenneth Becker, ATC
NPI #1598185233 in Mountain Home Afb, Idaho
Provider Information
- NPI Number
- 1598185233
- Entity Type
- Individual
- Name
- MR. Kenneth Becker, ATC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Apr 21, 2014
- Last Updated
- Aug 23, 2021
Practice Location
- Address
- 366 GUNFIGHTER AVE STE 498
- State
- Idaho
- ZIP Code
- 83648-5258
- Phone
- (208) 724-4782
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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