Tyler Becker
Individual provider Active NPI Athletic Trainer · Menomonee Falls, WI
NPI 1831665256 · NPPES record last updated Oct 24, 2018
Key facts
- NPI
- 1831665256
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 1809-39 (WI)
- Practice address
- N91W15750 Falls Pkwy
Menomonee Falls, WI 53051-2301 - Phone
- (262) 532-1100
- NPI assigned
- Oct 24, 2018
- Sex
- Male
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1809-39 | WI | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 1809-39 | WI | Yes |
Addresses
Primary practice location
N91W15750 Falls Pkwy
Menomonee Falls, WI 53051-2301
Mailing address
423 Green Bay Rd
Thiensville, WI 53092-1309
Phone (414) 881-1316
Other names
- Mr. Tyler Becker
Other providers in Menomonee Falls, WI
- Katherine Lamich Bauer
- Ashley Kristina Baugher
- Ariel Colleen Baxter
- Robin R Bechler
- Kathryn Becker
- Donna Behlmer
- Jeffrey Paul Bejma
- Hailey Bekkum
- Mahesh G. Belani
- Bell Eyecare LTD
All providers in Menomonee Falls, WI · Athletic Trainer in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.