Individual
KAYLA GOEDKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
217 E BREMER AVE, WAVERLY, IA 50677-3435
(800) 268-7192
Mailing address
2090 PASADENA DR APT 3, DUBUQUE, IA 52001-0814
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004364
IA
Other
Enumeration date
03/30/2021
Last updated
03/30/2021
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