Ricke Dale Callicoat
Physical Therapy Assistant in Blue Springs, MO. Individual provider (NPI-1).
NPI number1295877637
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1295877637
- Entity type
- Individual (NPI-1)
- Name
- Ricke Dale Callicoat
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 13, 2007
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | 200154908 | MO | Yes |
Practice location
2133 Nw 13th StBlue Springs, MO 64015-7734
Phone 816-224-0003 · Fax 816-224-2199
Mailing address
24789 Wildlife DrWarsaw, MO 65355-3751
Phone 816-956-1640
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Physical Therapy Assistant providers in Blue Springs, MO
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- Victoria Lea BaytonNPI 1356484745
- Bethany Ann Bendorf, PTANPI 1720855703
- Megan Marie BuckleyNPI 1659976959
- Christopher Buhr, PTANPI 1972266146
- Elizabeth Jean Chiesa, PTANPI 1013956093
- Laura Grace Daugherty, PTANPI 1679113633
- Kara Laney Dennell, PTANPI 1194319467
- Shannon Nicole Driskell, PTANPI 1578047890
- Jassmine GayNPI 1740081132
All 33 Physical Therapy Assistant providers in Blue Springs · All 1,075 providers in Blue Springs
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