Individual provider · Type 1 NPI

Malcolm James Lickers

Sports Physical Therapist · Henrico, VA

NPI number 1255938098 Active

Practice location

8191 Staples Mill Rd
Henrico, VA 23228-2751

Mailing address

3307 Quail Hill Dr
Midlothian, VA 23112-4431

Specialties and licenses

TaxonomyCodeLicense
Sports Physical Therapist Primary 2251S0007X2305202376 (VA)

Sports Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medica…

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About NPI 1255938098

Malcolm James Lickers's National Provider Identifier is 1255938098, issued on Oct 5, 2020. The primary taxonomy on file is Sports Physical Therapist (2251S0007X), and the practice location is in Henrico, VA. The record was last updated on Oct 5, 2020.