Individual
EDUARDO GODOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, AT, ATC
Contact information
Practice address
100 IAC, MOUNT PLEASANT, MI 48859-0001
(989) 774-2196
Mailing address
1240 E BROOMFIELD ST APT P6, MOUNT PLEASANT, MI 48858-7183
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
0126002560
VA
2255A2300X
Athletic Trainer
Primary
2601001926
MI
2255A2300X
Athletic Trainer
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Other
Enumeration date
07/21/2017
Last updated
08/15/2017
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