Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Malcolm James Lickers

Individual provider Sports Physical Therapist · NPI 1255938098

Malcolm James Lickers is a Sports Physical Therapist in Henrico, Virginia. Licensed in Virginia. Registered with an NPI since 2020.

Licensed in
VA
In the registry since
2020
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Practice location Address checks out

8191 Staples Mill Rd
Henrico, VA 23228-2751
Phone: (804) 523-2653
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Physical Therapist (primary) Taxonomy 2251S0007X · Licence 2305202376 (VA)

Record details

NPI number1255938098
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 5, 2020
Last updated in NPPESOctober 5, 2020
Certification dateOctober 5, 2020
Mailing address3307 Quail Hill Dr, Midlothian, VA 23112-4431

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