IndividualActive
Malcolm Lickers
NPI 1255938098 · Sports Physical Therapist · Henrico, VA
Provider details
- NPI number
- 1255938098
- Entity type
- Individual
- Primary specialty
- Sports Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 2305202376 (VA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
8191 Staples Mill Rd
Henrico, VA 23228-2751
Phone: (804) 523-2653
Approximate (ZIP-level) locationGet directions
Mailing address
3307 Quail Hill Dr
Midlothian, VA 23112-4431
Registry dates
- Enumerated
- 2020-10-05
- Last updated
- 2020-10-05
- Certified
- 2020-10-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.