Individual
DENNIS KIECKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
22503 KATY FWY, 1, KATY, TX 77450-1512
(281) 693-0300
(281) 693-0301
Mailing address
PO BOX 1401, CYPRESS, TX 77410-1401
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1028918
TX
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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