Individual
SHANELL GOODELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
527 W 400 N STE 6, OREM, UT 84057-1951
(801) 318-8081
Mailing address
527 W 400 N STE 6, OREM, UT 84057-1951
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
96220122401
UT
Other
Enumeration date
01/09/2016
Last updated
05/05/2022
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