STACEY PICKERT

LENEXA, KS
NPI1417006214
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: KS  24-00107)
Enumeration Date2007-01-09
Last Update Date2021-02-12
Business Address
STACEY PICKERT LAT, ATC
23351 PRAIRIE STAR PKWY STE A275
LENEXA, KS 66227-7302
Phone number: 913-351-3005
Mailing Address
STACEY PICKERT LAT, ATC
15326 W 128TH ST
OLATHE, KS 66062-5888
Phone number: 913-235-9109