Individual
MRS. CARRIEE LYNN GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1604 E PIKES PEAK AVE, COLORADO SPRINGS, CO 80909-5619
(719) 630-3193
(719) 630-3195
Mailing address
2233 ACADEMY PL, SUITE 50, COLORADO SPRINGS, CO 80909-1696
(719) 475-0808
(719) 475-8822
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
6547
AZ
225100000X
Physical Therapist
Primary
PT 9975
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C453368
GROUP PTAN
CO
Enumeration date
08/31/2006
Last updated
10/13/2022
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