Individual
KRISTEN MICHELLE GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
544 YELLOWSTONE AVE, CODY, WY 82414-9300
(307) 587-9789
(307) 587-9787
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217
(423) 362-8684
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
5004
SC
225100000X
Physical Therapist
Primary
PT004469
GA
Other
Enumeration date
02/27/2013
Last updated
08/10/2020
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