Provider Demographics
NPI:1609296870
Name:BECK, TERESA ROSE (ND)
Entity Type:Individual
Prefix:DR
First Name:TERESA
Middle Name:ROSE
Last Name:BECK
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3311 HICKORY ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68105-2535
Mailing Address - Country:US
Mailing Address - Phone:402-933-0439
Mailing Address - Fax:
Practice Address - Street 1:3311 HICKORY ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68105-2535
Practice Address - Country:US
Practice Address - Phone:402-933-0439
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-25
Last Update Date:2014-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA025205 NT00000992175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath