Organization
VALLEY FALLS CHIROPRACTIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRET DEREK LICKTEIG D.C. (OWNER)
(785) 945-3261
Entity
Organization
Contact information
Practice address
906 WALNUT ST, VALLEY FALLS, KS 66088-1240
(785) 945-3261
(785) 945-3262
Mailing address
PO BOX 186, VALLEY FALLS, KS 66088-0186
(785) 945-3261
(785) 945-3262
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-05378
KS
Other
Enumeration date
05/25/2011
Last updated
05/25/2011
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