KRISTINE LOUISE LEICK

OMAHA, NE
NPI1649713215
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NE  852)
Enumeration Date2016-11-29
Last Update Date2022-08-10
Business Address
Mrs. KRISTINE LOUISE LEICK MAT LAT ATC
8200 DODGE ST
OMAHA, NE 68114-4113
Phone number: 402-955-6300
Mailing Address
Mrs. KRISTINE LOUISE LEICK MAT LAT ATC
7127 N 172ND ST # 10
BENNINGTON, NE 68007-3333
Phone number: