Individual
KEITH GOODENOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5353 N 16TH ST STE 120, PHOENIX, AZ 85016-3282
(607) 423-5179
Mailing address
5353 N 16TH ST STE 120, PHOENIX, AZ 85016-3282
(602) 826-0037
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
043139
NY
225100000X
Physical Therapist
Primary
31093
AZ
225100000X
Physical Therapist
PT60895437
WA
Other
Enumeration date
01/02/2019
Last updated
03/30/2020
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