Alicia Lam, DPT
Individual provider Active NPI Physical Therapist · Richmond, MO
NPI 1295531408 · NPPES record last updated Feb 20, 2025
Key facts
- NPI
- 1295531408
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2014039452 (MO)
- Practice address
- 804 Wollard Blvd
Richmond, MO 64085-2227 - Phone
- (816) 776-5403
- Fax
- (816) 776-3591
- NPI assigned
- Feb 20, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2014039452 | MO | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2014039452 | MO | Yes |
Addresses
Primary practice location
804 Wollard Blvd
Richmond, MO 64085-2227
Mailing address
804 Wollard Blvd
Richmond, MO 64085-2227
Phone (816) 776-5403
Other providers in Richmond, MO
- Trisha Jackson
- Tiffany Jacobs
- Sandra Gayle Johnson
- Jennifer Ann Kleeman
- Emilee Lam-Stevens
- Devanne Landwehr
- Ryan Lauck
- Michele Lee Lewis
- Megan Liebau
- Life Recovery Consulting, LLC
All providers in Richmond, MO · Physical Therapist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.