Individual
CYNDEE GOODEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
390 E PARKCENTER BLVD, STE 130, BOISE, ID 83706-6662
(208) 433-9211
Mailing address
PO BOX 1364, EAGLE, ID 83616-1364
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265632756
—
ID
Enumeration date
07/23/2007
Last updated
10/21/2012
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