Individual
MARILYN E BECKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
6219 VANCE RD, CHATTANOOGA, TN 37421-2979
(423) 553-8175
(423) 553-8177
Mailing address
6219 VANCE RD, CHATTANOOGA, TN 37421-2979
(423) 553-8175
(423) 553-8177
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0000000437
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3157461
BCBS PROVIDER #
TN
05
—
3653366
—
TN
01
—
621829028
TAX ID
TN
Enumeration date
08/26/2005
Last updated
05/08/2009
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