NICOLE GOODMAN ATC LAT NPI 1609224393

NPI Information

Nicole Goodman, ATC, LAT is a student in an organized health care education training program in Tyler, TX. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Nicole Goodman, ATC, LAT NPI is 1609224393. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

13172 STATE HIGHWAY 64 E
TYLER, TX
ZIP 75707-340
Phone: (502) 542-0583

The enumeration date for this NPI number is 6/2/2016 and was last updated on 6/2/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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