Individual provider · NPI-1

Tracey A Beckman, ATC, LAT

Specialist/Technologist, Athletic Trainer · Hialeah, FL

NPI number1801011259
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1801011259
Entity type
Individual (NPI-1)
Name
Ms. Tracey A Beckman
Credential
ATC, LAT
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 13, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic TrainerAL746FLYes

Practice location

251 E 47th St
Hialeah, FL 33013-1843

Phone 305-822-1500 · Fax 305-818-2844

Mailing address

1364 Nw 123rd Ter
Pembroke Pines, FL 33026-4318

Phone 954-263-3749 · Fax 305-818-2844

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