Individual
MRS. KRISTINE LOUISE LEICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAT LAT ATC
Contact information
Practice address
8200 DODGE ST, OMAHA, NE 68114-4113
(402) 955-6300
(402) 955-6651
Mailing address
7127 N 172ND ST # 10, BENNINGTON, NE 68007-3333
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
852
NE
Other
Enumeration date
11/29/2016
Last updated
08/10/2022
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