Individual
ELISE GOODRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6050 S FORT APACHE RD STE 120, LAS VEGAS, NV 89148-5614
(702) 564-6712
(702) 564-4838
Mailing address
3840 W ANN RD STE 101B, NORTH LAS VEGAS, NV 89031-4404
(702) 660-2694
(702) 750-1372
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NV
225X00000X
Occupational Therapist
Primary
OT-3810
NV
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/09/2025
Last updated
03/12/2026
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