Individual provider · Type 1 NPI

Bret Derek Lickteig, DC

Chiropractor · Shawnee, KS

NPI number 1144529561 Active

Practice location

17202 Midland Dr
Shawnee, KS 66217-8901

Fax (913) 268-8390

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X01-05378 (KS)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1144529561

Bret Derek Lickteig, DC's National Provider Identifier is 1144529561, issued on Mar 24, 2011. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Shawnee, KS. The record was last updated on May 21, 2026.