Jonathan Becker, LAT, ATC

Athletic Trainer · Nashville, IL

Individual Active NPI

NPI number 1477007789

Practice location

251 S Hoffman St
Nashville, IL 62263-1751
Phone
(618) 314-0597

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NPI record

NPI
1477007789
Entity type
Individual (Type 1)
Enumeration date
August 4, 2016
Last updated
August 4, 2016
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X 096003823 IL

About Jonathan Becker

Jonathan Becker, LAT, ATC is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 251 S Hoffman St, Nashville, IL 62263-1751. The NPI number 1477007789 was assigned on August 4, 2016 and the record was last updated on August 4, 2016.

Jonathan Becker lists a license in the registry: #096003823 (IL) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jonathan Becker, LAT, ATC?

The NPI number is 1477007789.

What is the phone number of Jonathan Becker?

The phone number listed for the practice location is (618) 314-0597.

Where is Jonathan Becker located?

251 S Hoffman St, Nashville, IL 62263-1751.

What is the taxonomy code for Jonathan Becker?

The primary taxonomy code is 2255A2300X – Athletic Trainer.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.