Individual
CRAIG BECKNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2615 N DOWNER AVE, MILWAUKEE, WI 53211-4245
(414) 962-4400
(414) 962-5674
Mailing address
600 OAKMONT LN STE 600C, WESTMONT, IL 60559-5548
(630) 575-6200
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070018615
IL
225100000X
Physical Therapist
Primary
12669-24
WI
Other
Enumeration date
07/20/2011
Last updated
02/25/2019
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