Individual
KATHERINE BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
1109 S ARLINGTON AVE, INDEPENDENCE, MO 64053-1698
(816) 521-5360
Mailing address
3935 S REDWOOD DR APT F, INDEPENDENCE, MO 64055-3952
(816) 261-0562
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2008031880
MO
2255A2300X
Athletic Trainer
24-00874
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2008031880
MISSOURI DIVISION OF PROFESSIONAL REGISTRATION
MO
01
—
24-00874
KANSAS BOARD OF HEALING ARTS
KS
Enumeration date
05/03/2022
Last updated
05/03/2022
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