Individual
HEATHER GOIST FOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
109154
MO
2251S0007X
Sports Physical Therapist
11-02189
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100211030A
—
KS
01
—
22783028
BCBS KC
MO
05
—
488637000
—
MO
01
—
635250
KANSAS FIRSTGUARD
KS
01
—
650010779
RAILROAD MEDICARE
—
Enumeration date
09/05/2006
Last updated
03/05/2020
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