Individual
MR. KERRY F RICKELMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
560 N MAIN ST STE 9, SALADO, TX 76571-5845
(254) 947-0694
Mailing address
560 N MAIN ST STE 9, SALADO, TX 76571-5845
(254) 947-0694
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AT3106
TX
225700000X
Massage Therapist
Primary
MT104420
TX
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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