Individual
MRS. MICHELLE MARIE GODEK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
OHIO UNIVERSITY, PEDEN TOWER RM 118, ATHENS, OH 45701
(740) 593-1195
Mailing address
10010 ALDERMAN RD, MILLFIELD, OH 45761-9639
(740) 591-3538
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
001596
OH
Other
Enumeration date
02/06/2006
Last updated
07/08/2007
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