Doctor Name: | DR. GARY L BECKER |
NPI Number: | 1003841701 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | L.M.T.,D.C. |
License Number: | 4864 |
Business Practice Address: | 8200 Janes Ave Woodridge, IL - 605174303 |
Business Phone Number: | 6307399292 |
Business Fax Number: | 6307399342 |
Mailing Address: | 319 N Weber Rd, # 379 BOLINGBROOK |
State: | IL |
Postal Code: | 604901569 |
Phone Number: | 6307399292 |
Fax Number: | 6307399342 |
NPI Enumeration Date: | 07/11/2006 |
NPI Last Update Date: | 01/29/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 4864 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |