Provider Demographics
NPI:1609687854
Name:BECKER, KARA ALISE (PT, DPT)
Entity type:Individual
Prefix:
First Name:KARA
Middle Name:ALISE
Last Name:BECKER
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:709 S LOGAN ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80209-4125
Mailing Address - Country:US
Mailing Address - Phone:410-274-4918
Mailing Address - Fax:
Practice Address - Street 1:4731 S SANTA FE CIR UNIT 3-4
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80110-2200
Practice Address - Country:US
Practice Address - Phone:410-274-4918
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-16
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPTL.0013273261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy