RICKE DALE CALLICOAT

BLUE SPRINGS, MO
NPI1295877637
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MO  200154908)
Enumeration Date2007-02-13
Last Update Date2007-07-08
Business Address
-- RICKE DALE CALLICOAT
2133 NW 13TH ST
BLUE SPRINGS, MO 64015-7734
Phone number: 816-224-0003
Mailing Address
-- RICKE DALE CALLICOAT
24789 WILDLIFE DR
WARSAW, MO 65355-3751
Phone number: 816-956-1640
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