Individual
JUSTIN FRICKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
6500 GREELEY AVE, KANSAS CITY, KS 66104-2647
(615) 896-6400
Mailing address
612 N 80TH TER, KANSAS CITY, KS 66112-2508
(615) 896-6400
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
T-02537
KS
Other
Enumeration date
08/11/2009
Last updated
08/11/2009
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