Individual
ISAAC D GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6830 RAMBLEWOOD DR APT K, FORT WAYNE, IN 46835-1764
(309) 831-7518
Mailing address
6830 RAMBLEWOOD DR APT K, FORT WAYNE, IN 46835-1764
(309) 831-7518
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
IN
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
IN
Other
Enumeration date
12/02/2025
Last updated
12/02/2025
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