Individual
MATTHEW SIMON GODOFSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
5620 RAINIER AVE S STE 102, SEATTLE, WA 98118-2498
(206) 535-8061
(206) 535-8064
Mailing address
5620 RAINIER AVE S STE 102, SEATTLE, WA 98118-2498
(206) 535-8061
(206) 535-8064
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT60760877
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT60760877
PT LICENSE
WA
Enumeration date
08/29/2017
Last updated
07/21/2022
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