Individual
CHAD JOAQUIN GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1217 S HEWITT DR, HEWITT, TX 76643-3200
(254) 315-0771
Mailing address
1910 N 5TH ST, WACO, TX 76708-3604
(254) 315-0771
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT141900
TX
Other
Enumeration date
05/07/2025
Last updated
05/07/2025
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