Individual
KAREY LK GOODNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
440 S MEYERS ST, KETTLE FALLS, WA 99141
(509) 738-1555
Mailing address
PO BOX 374, COLVILLE, WA 99114-0374
(509) 680-7025
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P160165399
WA
Other
Enumeration date
05/07/2024
Last updated
05/07/2024
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