Individual
STACEY PICKERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
23351 PRAIRIE STAR PKWY STE A275, LENEXA, KS 66227-7302
(913) 351-3005
(913) 351-3009
Mailing address
15326 W 128TH ST, OLATHE, KS 66062-5888
(913) 235-9109
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
24-00107
KS
Other
Enumeration date
01/09/2007
Last updated
02/12/2021
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