Mr. Kenneth Becker, ATC
Mr. Kenneth Becker, ATC is an Athletic Trainer in Mountain Home AFB, Idaho. Practices as a sole proprietor. Licensed in Idaho.
- Licensed in
- ID
- In the registry since
- 2014
What do these letters mean?
- ATC — Certified Athletic Trainer
- Prevents and treats sport and activity injuries.
Practice location Address checks out
366 Gunfighter Ave Ste 498Mountain Home AFB, ID 83648-5258
Phone: (208) 724-4782
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X · Licence AT-394 (ID) |
|---|
Record details
| NPI number | 1598185233 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | ATC |
| Sole proprietor | Yes |
| NPI enumerated | April 21, 2014 |
| Last updated in NPPES | August 23, 2021 |
| Certification date | August 23, 2021 |
| Mailing address | 133 Magnolia Ave Se, Fort Walton Beach, FL 32548-7266 |