Individual provider · Type 1 NPI

Mike P. Ricke, LAT

Student in an Organized Health Care Education/Training Program · College Station, TX

NPI number 1225414535 Active

Practice location

1228 Tamu St, Texas A&m Athletic Dept. Reed Arena
College Station, TX 77843-1228

Call (979) 845-9513 Map

Fax (979) 862-1791

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X700 (TX)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1225414535

Mike P. Ricke, LAT's National Provider Identifier is 1225414535, issued on Aug 10, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in College Station, TX. The record was last updated on Aug 10, 2015.