Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
HOLLY LICKWALA, P.T.
ActiveHOLLY LICKWALA, P.T. is a Physical Therapy Assistant healthcare provider located in CENTRALIA, Washington. NPI 1699912295 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · CENTRALIA, WA
Registration Details
- NPI Number
- 1699912295
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 19, 2009 (17.564712623981 yrs)
- Last Updated
- Aug 21, 2020
- Licenses
-
6214 (AZ)PT60272758 (WA)
Practice Information
- Address
-
1118 VIEW AVECENTRALIA, WA, 985311870Browse WA providers · Browse ZIP 98531
- Phone
- 3607368273
- Fax
- 3607365053
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in CENTRALIA, WA
| Name | Credential | NPI |
|---|---|---|
| ADAM NEIL GULLETT | MPT | 1528041910 |
| MARC A PIQUET | — | 1548244924 |
| GREGORY A SONNTAG | P.T. | 1295780427 |
| CRAIG M TEDDER | DPT | 1588601850 |
| ANNE ELIZABETH MATZ | M.S.,P.T. | 1346309838 |
| MR. ROYCE R LARSON | — | 1356400816 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.