Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Kenneth Becker, ATC

Individual provider Athletic Trainer · NPI 1598185233

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.

See every abbreviation used in this directory →

Practice location Address checks out

366 Gunfighter Ave Ste 498
Mountain Home AFB, ID 83648-5258
Phone: (208) 724-4782
Show map & directions

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 number1598185233
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorYes
NPI enumeratedApril 21, 2014
Last updated in NPPESAugust 23, 2021
Certification dateAugust 23, 2021