Individual
KAYLA BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, AT, ATC
Contact information
Practice address
1961 LANGRAM RD, PUT IN BAY, OH 43456-6732
(419) 706-7775
Mailing address
3 HORSESHOE DR, MONROEVILLE, OH 44847-9707
(419) 706-7775
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
003926
OH
207PS0010X
Sports Medicine (Emergency Medicine) Physician
003926
OH
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
003926
OH
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
003926
OH
2084S0010X
Sports Medicine (Psychiatry & Neurology) Physician
003926
OH
224Y00000X
Clinical Exercise Physiologist
003926
OH
2255A2300X
Athletic Trainer
Primary
003926
OH
226300000X
Kinesiotherapist
003926
OH
Other
Enumeration date
12/22/2017
Last updated
01/18/2018
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