Individual
JACKLYN GODDARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1449 GREEN BAY RD, STURGEON BAY, WI 54235-3846
(920) 746-7200
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11243
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100022907
—
WI
Enumeration date
04/23/2012
Last updated
05/19/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us