Individual
DR. BRET DEREK LICKTEIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
17202 MIDLAND DR, SHAWNEE, KS 66217-8901
(913) 268-8300
(913) 268-8390
Mailing address
17202 MIDLAND DR, SHAWNEE, KS 66217-8901
(913) 268-8300
(913) 268-8390
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-05378
KS
Other
Enumeration date
03/24/2011
Last updated
05/21/2026
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