Individual
MR. DWAYNE KICKLIGHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
7831 PARK LN, DALLAS, TX 75225-2000
(214) 369-9905
Mailing address
7831 PARK LN, DALLAS, TX 75225-2000
(214) 369-9905
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1178660
TX
Other
Enumeration date
02/17/2021
Last updated
07/28/2025
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