Individual
JESSICA GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12200 W 106TH ST, OVERLAND PARK, KS 66215-2305
(913) 541-3365
Mailing address
PO BOX 7580, NORTH KANSAS CITY, MO 64116-0280
(816) 694-0794
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2012018511
MO
2255A2300X
Athletic Trainer
24-01070
KS
Other
Enumeration date
01/14/2017
Last updated
02/27/2025
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