Individual
ANDREW GOFORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT.
Contact information
Practice address
3308 ARBOR DR, FENTON, MI 48430-3127
(810) 333-7990
(810) 215-1086
Mailing address
3308 ARBOR DR., FENTON, MI 48430-3127
(810) 333-7990
(810) 215-1086
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
7501007374
MI
Other
Enumeration date
12/13/2016
Last updated
12/13/2016
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