Individual
SAMUEL GOODROAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
8900 PARALLEL PKWY, KANSAS CITY, KS 66112-1637
(913) 788-2100
Mailing address
8900 PARALLEL PKWY, KANSAS CITY, KS 66112-1637
(913) 788-2100
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1402946
KS
225200000X
Physical Therapy Assistant
2012038311
MO
Other
Enumeration date
12/29/2016
Last updated
12/29/2016
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