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Individual

DR. KASSIDY REKIETA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
6202 14TH ST, LUBBOCK, TX 79416-6110
(972) 989-9696
Mailing address
6202 14TH ST, LUBBOCK, TX 79416-6110

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
40502
TX
103TE1100X
Exercise & Sports Psychologist

Other

Enumeration date
08/19/2025
Last updated
08/19/2025
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