Individual
JESSICA GOODPASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
8325 E SOUTHPORT RD, INDIANAPOLIS, IN 46259-6833
(317) 528-6406
Mailing address
7717 SUNSET RIDGE PKWY, INDIANAPOLIS, IN 46259-7770
(301) 412-5069
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
05009171A
IN
Other
Enumeration date
04/14/2020
Last updated
11/30/2022
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