Individual
JENNIFFER A GOODLETT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
515 HOSPITAL DR, SUITE 1, SHELBYVILLE, KY 40065-1619
(502) 633-3525
(502) 633-3825
Mailing address
515 HOSPITAL DR, SUITE 1, SHELBYVILLE, KY 40065-1619
(502) 633-3525
(502) 633-3825
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
003867
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
191079
ANTHEM
KY
01
—
7956204
AETNA
—
Enumeration date
10/14/2005
Last updated
07/08/2007
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