Individual
JENNIFER L. GOODELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4042 DUTCHMANS LN, LOUISVILLE, KY 40207-4712
(502) 899-9363
(502) 899-9365
Mailing address
151 N EAGLE CREEK DR, STE 400, LEXINGTON, KY 40509-1889
(859) 264-8866
(859) 264-1167
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A02660
KY
Other
Enumeration date
10/20/2010
Last updated
10/20/2010
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