Individual
JARED JAMES LICHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, LAT, ATC
Contact information
Practice address
825 S TAFT AVE STE 4, MASON CITY, IA 50401-7345
(641) 450-0616
Mailing address
825 S TAFT AVE STE 4, MASON CITY, IA 50401-7345
(641) 450-0616
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2255A2300X
Athletic Trainer
092891
IA
Other
Enumeration date
08/07/2017
Last updated
01/21/2021
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