Mrs. Andrea Lynn Goddard
Physical Therapist
303 N. Hurstbourne Parkway Suite 200
Lousiville
, Kentucky 40222
Mrs. Andrea Lynn Goddard
Physical Therapist
303 N. Hurstbourne Parkway Suite 200
Lousiville
, Kentucky 40222
(810) 569-0409
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About
Features
Specialties
- Physical Therapist
Languages spoken
- English
Location
First Address
- Mrs. Andrea Lynn Goddard
- 227 N Davison St
- Davison, MI
- Zip : 48423
- Phone : (810) 569-0409
Second Address
- Mrs. Andrea Lynn Goddard
- 303 N. Hurstbourne Parkway Suite 200
- Lousiville, KY
- Zip : 40222
- Phone : (502) 412-5847
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 5501014308 | MI |
National Provider Identifier
| NPI | 1578811618 |
|---|---|
| Provider Name | Mrs. Andrea Lynn Goddard |
| First Address | Davison, MI 48423 |
| Second Address | Lousiville, KY 40222 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/08/2012 |
| Last Update Date | 21/08/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.