Provider Demographics
NPI:1356856330
Name:BECKER, CHERYL K (DC)
Entity Type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:K
Last Name:BECKER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9245 N OAK TRFY
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64155-3392
Mailing Address - Country:US
Mailing Address - Phone:913-329-2337
Mailing Address - Fax:
Practice Address - Street 1:9245 N OAK TRFY
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64155-3392
Practice Address - Country:US
Practice Address - Phone:913-329-2337
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-12
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2017004892111NI0900X, 111NP0017X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NP0017XChiropractic ProvidersChiropractorPediatric Chiropractor
No111NI0900XChiropractic ProvidersChiropractorInternist