Individual provider · Type 1 NPI

Ricke Dale Callicoat

Physical Therapy Assistant · Blue Springs, MO

NPI number 1295877637 Active

Practice location

2133 NW 13th St
Blue Springs, MO 64015-7734

Fax (816) 224-2199

Mailing address

24789 Wildlife Dr
Warsaw, MO 65355-3751

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XNone listed

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1295877637

Ricke Dale Callicoat's National Provider Identifier is 1295877637, issued on Feb 13, 2007. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Blue Springs, MO. The record was last updated on Jul 8, 2007.