National Provider Identifier
Carol R Becker, MS, ATC
Carol R Becker, MS, ATC is listed in the NPPES registry with a primary specialty of Athletic Trainer in Lewiston, NY and a listed phone number of (716) 286-8612.
Profile Overview
- NPI
- 1578705810
- Provider Type
- Individual
- Primary Specialty
- Athletic Trainer
- Enumeration Date
- April 01, 2009
- Last Updated
- April 01, 2009
Practice Location
- 5795 Lewiston RD
- Lewiston, NY 14092-2152
Phone: (716) 286-8612
Mailing Address
- 3532 Route 77
- Varysburg, NY 14167-9758
Specialties
- Athletic Trainer (2255A2300X)
Full Record
- NPI
- 1578705810
- Entity Type
- Individual
- Last Name
- Becker
- First Name
- Carol
- Middle Name
- R
- Name Prefix
- MS.
- Credential
- MS, ATC
- Mailing Street Address
- 3532 Route 77
- Mailing City
- Varysburg
- Mailing State
- NY
- Mailing ZIP Code
- 14167-9758
- Mailing Country
- US
- Mailing Phone
- (815) 761-0914
- Practice Street Address
- 5795 Lewiston RD
- Practice City
- Lewiston
- Practice State
- NY
- Practice ZIP Code
- 14092-2152
- Practice Country
- US
- Practice Phone
- (716) 286-8612
- Enumeration Date
- April 01, 2009
- Last Updated
- April 01, 2009
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Athletic Trainer (2255A2300X)