DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACOB BECKER

Active Sole Proprietor

Athletic Trainer · COLUMBIA, SC

Registration Details

NPI Number
1649969247
Provider Type
Individual
Gender
Male
NPI Issued
May 1, 2023 (2.9753472956852 yrs)
Last Updated
May 1, 2023
License
1060760 (IA)
Sole Proprietor
Yes

Practice Information

Address
1000 BLOSSOM ST
COLUMBIA, SC, 292082909
Browse SC providers · Browse ZIP 29208
Phone
6417801230
Primary Specialty
Athletic Trainer
225500000X

Other Athletic Trainer Providers in COLUMBIA, SC

Name Credential NPI
MS. SHANITA L BROWN 1700473691
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.