Individual
SUSANNA GOODELL-FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 E NORMAL AVE, KIRKSVILLE, MO 63501-4200
(816) 916-5935
Mailing address
509 E MCPHERSON ST, KIRKSVILLE, MO 63501-3664
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/30/2017
Last updated
10/30/2017
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