Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JONATHAN BECKER, LAT, ATC
Active Sole ProprietorJONATHAN BECKER, LAT, ATC is a Athletic Trainer healthcare provider located in NASHVILLE, Illinois. NPI 1477007789 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · NASHVILLE, IL
Registration Details
- NPI Number
- 1477007789
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 4, 2016 (9.9919334650308 yrs)
- Last Updated
- Aug 4, 2016
- License
-
096003823 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
251 S HOFFMAN STNASHVILLE, IL, 622631751Browse IL providers · Browse ZIP 62263
- Phone
- 6183140597
- Primary Specialty
-
Athletic Trainer
2255A2300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.