Provider Demographics
NPI:1649779885
Name:BECKNER, AMEE (LMT)
Entity Type:Individual
Prefix:MS
First Name:AMEE
Middle Name:
Last Name:BECKNER
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:717 LEE ST E STE 411
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25301-1734
Mailing Address - Country:US
Mailing Address - Phone:304-444-9501
Mailing Address - Fax:
Practice Address - Street 1:717 LEE ST E STE 411
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25301-1734
Practice Address - Country:US
Practice Address - Phone:304-444-9501
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-02
Last Update Date:2018-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV2016-3393225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist