Individual
DEREK MICHAEL BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1356 N BRISTOL ST, SUN PRAIRIE, WI 53590-1269
(608) 837-7600
Mailing address
5119 BROOKFIELD PKWY APT 113, MADISON, WI 53718-2129
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11784-146
WI
Other
Enumeration date
07/14/2026
Last updated
07/14/2026
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