Individual
PEYTON M GOODLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OT
Contact information
Practice address
4707 HUNTERS POINT CIR, LOUISVILLE, KY 40216-1421
(502) 836-4363
Mailing address
2106 BARDSTOWN RD, LOUISVILLE, KY 40205-1916
(502) 459-4647
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100665540
—
KY
Enumeration date
04/24/2020
Last updated
06/20/2023
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