Individual
LUCAS RICKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
W185S8750 RACINE AVE, MUSKEGO, WI 53150
(262) 971-1790
Mailing address
W250N7437 HILLSIDE RD, SUSSEX, WI 53089-1909
(262) 417-0586
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1762-39
WI
Other
Enumeration date
04/02/2025
Last updated
04/02/2025
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