Individual
KAITLYN RICKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR, MOT
Contact information
Practice address
1102 WINKLER AVE, KILLEEN, TX 76542-6249
(254) 634-8505
(254) 781-4312
Mailing address
605 DONNIE AVE, KILLEEN, TX 76541-8918
(254) 634-8505
(254) 781-4312
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
056010075
IL
225XP0200X
Pediatric Occupational Therapist
Primary
119439
TX
Other
Enumeration date
03/18/2013
Last updated
09/19/2018
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