Provider Demographics
NPI:1063518348
Name:BECKER, NANCY ELLEN (MS, ATC)
Entity type:Individual
Prefix:MISS
First Name:NANCY
Middle Name:ELLEN
Last Name:BECKER
Suffix:
Gender:F
Credentials:MS, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 E RIVER ROCK RD
Mailing Address - Street 2:
Mailing Address - City:BELGRADE
Mailing Address - State:MT
Mailing Address - Zip Code:59714-7219
Mailing Address - Country:US
Mailing Address - Phone:406-570-1592
Mailing Address - Fax:
Practice Address - Street 1:601 E RIVER ROCK RD
Practice Address - Street 2:
Practice Address - City:BELGRADE
Practice Address - State:MT
Practice Address - Zip Code:59714-7219
Practice Address - Country:US
Practice Address - Phone:406-570-1592
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer