Individual
DR. ADAM RYAN GOODPASTURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, PT
Contact information
Practice address
800 RAVENHILL DR, ATCHISON, KS 66002-9204
(913) 360-5550
(913) 674-2015
Mailing address
800 RAVENHILL DR, ATCHISON, KS 66002-9204
(913) 360-5550
(913) 674-2015
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-05202
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016289141
PTAN
KS
05
—
30005200230001
—
KS
05
—
480157185
—
MO
Enumeration date
11/16/2023
Last updated
03/11/2026
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