Individual
KIMBERLY GOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1030 EDMONDS ST, JEFFERSON CITY, MO 65109
(573) 761-6700
Mailing address
913 IHLER RD, JEFFERSON CITY, MO 65109
(573) 635-4877
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2005037604
MO
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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