Individual
SHERRY KAY GOODRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1510 E RICHARDS ST, DOUGLAS, WY 82633-2941
(307) 358-4663
Mailing address
1510 E RICHARDS ST, DOUGLAS, WY 82633-2941
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6466
SC
Other
Enumeration date
12/10/2009
Last updated
12/10/2009
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