Julie Anne Becker, PTA

Individual provider Active NPI Physical Therapy Assistant · Saint Edward, NE

NPI 1043777162 · NPPES record last updated Feb 25, 2019

Key facts

NPI
1043777162
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
651 (NE)
Practice address
301 N 13TH St
Saint Edward, NE 68660-4426
Phone
(402) 678-2294
NPI assigned
Feb 25, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
651NEMDRegistered Dietitian

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 651 NE Yes

Addresses

Primary practice location

301 N 13TH St
Saint Edward, NE 68660-4426

Mailing address

301 N 13TH St
Saint Edward, NE 68660-4426

Other providers in Saint Edward, NE

All providers in Saint Edward, NE · Physical Therapy Assistant in Nebraska

Sources for this page

Verify at the official NPI Registry.