Individual
MR. TODD HOWARD GOSHORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
3107 W 18TH ST, GRAND ISLAND, NE 68803-2404
(308) 381-2702
Mailing address
3107 W 18TH ST, GRAND ISLAND, NE 68803-2404
(308) 381-2702
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
90
NE
Other
Enumeration date
06/03/2007
Last updated
07/08/2007
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